Delta Prescriber File

6000401367001|||||Sanghavi|Monika|Arora|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
35|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13

T15:12:51.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:00:18.0Z|U
|New|v10_6|1922254036|1922254036001||||||||||||||||32.81096|-96.83699|Y|
6000530207001|||||LastTest|FirstTest||||THT Street||Allen Park|MI|70000|Tht Stre
et||Allen Park|MI|70000|8877665544|7766554433|||2013-11-14T05:20:33.0Z|2014-02-1
4T05:20:34.0Z|New|AmericanChoice|2013-11-14T05:20:38.0Z|N||v10_6|9920348259|9920
348259001|||||||||||||||||||
6002133539001|||||Dickason|Cheryl|L|||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932|1
431 Centerpoint Blvd||Knoxville|TN|379321984|8882031274|8652913228|||2013-11-14T
23:49:29.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:49:29
.0Z|N||v10_6|1437129459|1437129459001||||||||||||||||35.93657|-84.14881|Y|AM
6002502899001|||||Bauer|Ross||MD||2 Medical Park Drive||West Nyack|NY|10994|2 Me
dical Park Dr||West Nyack|NY|109941965|8453545000|8453549469|||2013-11-14T22:54:
30.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:54:30.0Z|N|
|v10_6|1336308873|1336308873001||||||||||||||||41.09564|-73.98315|Y|AM
6002834599001|||AN||Burkelemmers|Cheryl|M|CRNA|PREVEA HEALTH|835 S Van Buren St|
PO Box 13508|GREEN BAY|WI|54301|835 S Van Buren St|# 2|Green Bay|WI|543013526|92
04338328|9204313082|||2013-08-25T13:32:25.0Z|2014-11-14T06:00:00.0Z|New~Refill|P
reveaTest|2013-11-14T20:00:21.0Z|U|New|v10_6|1730289661|1730289661001|||||||||||
|||||44.50115|-88.01229|Y|AM
6003489700001|||D||Juzych|Lydia||MD||2825 Livernois||TROY|MI|48083|2825 Livernoi
s Rd||Troy|MI|480831214|2486806040|2486898091|||2012-10-11T18:12:26.0Z|2014-11-1
4T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:41:42.0Z|U|New|v10_6|180197
4936|1801974936001||||||||||||||||42.56009|-83.14866|Y|AM
6006219441001|||IM||Juranek|Robert|H|MD|SPRINGFIELD PRIORITY CARE|1836 S MACARTH
UR BOULEVARD|SPRINGFIELD PRIORITY CARE|SPRINGFIELD|WI|62704|1836 S MacArthur Blv
d||Springfield|IL|627044030|2177891403|2177891825|||2013-08-25T13:39:14.0Z|201411-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:00:27.0Z|U|New|v10_6|13362
36264|1336236264001||||||||||||||||39.78047|-89.66789|Y|AM
6006656675001|FO4192895|||DR.|DISHON5|SHERRI|||Dev Rx - Sherri|4690 PARKWAY DRIV
E||MASON|OH|45040|4690 Parkway Dr||Mason|OH|450408172|5138675309|5138675309|||20
13-11-14T16:31:59.0Z|2096-11-14T16:44:42.0Z|New~Refill~MedHistory~Eligibility|Me
dPlusTest3|2013-11-14T16:44:37.0Z|N|New~MedHistory~Eligibility|v10_6mu2|16062354
75|1606235475001||||||||||||||||39.30312|-84.30974|Y|
6008376405002|||||Cox|Brian|Parish|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
01 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13T14:5
7:49.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:00:51.0Z|U|New|
v10_6|1508095423|1508095423002||||||||||||||||32.81096|-96.83699|Y|
6011834895001|||||Black|Sharon||||7 southwoods Blvd||Albany|NY|12144|7 Southwood
s Blvd||Albany|NY|122112526|5182720000|5182720001|||2010-05-27T15:16:47.0Z|209912-29T05:00:00.0Z|New|LilleCorpTest|2013-11-14T08:12:08.0Z|U|New|v10_6mu2|130683
1771|1306831771001||||||||||||||||42.68367|-73.77126|Y|
6012036078002|AB8069898||||VARALA|SUDHEER|||Phoenix EHR Org|3492 EHR RD||MASON|O
H|45040||||||5138882910|5138882911|||2012-09-18T09:16:12.0Z|2096-11-14T11:35:46.
0Z|New~Refill~MedHistory|MedPlusQA2|2013-11-14T11:33:59.0Z|U|New~MedHistory|v4_2
0|9999162750|9999162750002|||||||||||||||||||
6012301076001|GA4523456|MD67687678||PREF|CHARM|BETA112|M|SUF|BETA112 EDI|5995 WI
NDWARD PARKWAY||ALPHARETTA|GA|30005|5995 Windward Pkwy||Alpharetta|GA|300054184|
6784223458|6784221398|||2013-08-28T16:25:10.0Z|2099-10-08T10:36:07.0Z|New~Refill
|McKessonHACQA|2013-11-14T18:27:09.0Z|U|New|v10_6|6784562335|6784562335001||||||
||||||||||34.08649|-84.25046|Y|
6012359488001|||||Cheek|Vincent|K|||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932|143
1 Centerpoint Blvd||Knoxville|TN|379321984|8882031274|8656702806|||2013-11-14T23
:46:18.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:46:18.0
Z|N||v10_6|1205804986|1205804986001||||||||||||||||35.93657|-84.14881|Y|AM
6012371434001|||||Halevy|Rachel||MD||2 Suffern Lane||Garnerville|NY|10923|2 Suff
ern Ln||Garnerville|NY|109231311|8454291800|8459474198|||2013-11-14T23:00:48.0Z|
2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:00:48.0Z|N||v10_6
|1306823935|1306823935001||||||||||||||||41.20763|-73.99788|Y|AM
6012742667001|||IM||Grewal|Monika||MD||39450 W. 12 Mile Rd||Novi|MI|48377|39450

W 12 Mile Rd||Novi|MI|483773600|2483440710|2483440720|||2012-10-11T18:13:57.0Z|2
014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:43:54.0Z|U|New|v10_
6|1114095650|1114095650001||||||||||||||||42.49805|-83.43774|Y|AM
6013163269001|||||Heavey|Jonathan|D|||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932|1
.0Z|N||v10_6|1700981628|1700981628001||||||||||||||||35.93657|-84.14881|Y|AM
6013639235001|||US||Diaz-Mendoza|Javier||MD||2799 West Grand Blvd.||Detroit|MI|4
8202|2799 W Grand Blvd||Detroit|MI|482022608|3139162421|3139163017|||2012-10-11T
18:12:54.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42:18.
0Z|U|New|v10_6|1710197835|1710197835001||||||||||||||||42.36731|-83.08504|Y|AM
6015155172006|AF3720314|||DR.|VENKAT|BHARATI||LPN|Mike's 11.2 Test Org|PAIN MGMT
W/ EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|OH|
45040|5132042340|5137707700|||2012-03-07T21:34:54.0Z|2096-11-14T17:05:51.0Z|New~
MedHistory|MedPlusQA4|2013-11-14T17:04:04.0Z|U|New~MedHistory|v4_20|2345123899|2
345123899006|||||||||||||||||||
4T21:59:57.0Z|New|AmericanChoice|2013-08-15T05:01:36.0Z|D||v10_6|9959572291|9959
572291001|||||||||||||||||||
6016910591001|||||Gill|Kevin||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 Ha
rry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2011-02-21T23:40:54.
0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:01:26.0Z|U|New|v10_6
|1427054964|1427054964001||||||||||||||||32.81096|-96.83699|Y|
6018056112001|||||Haider|Suhail||MD||602 N 6th Street||Hopewell|VA|23860|602 N 6
th Street||Hopewell|VA|23860|8044587781|8044587814|||2013-11-14T22:18:15.0Z|2014
-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:18:15.0Z|N||v10_6|173
0158064|1730158064001||||||||||||||||37.28364|-77.2908|N|AM
6018386782001|||||Sockin|Steven||MD||500C New Hempstead Road||New City|NY|10956|
500 New Hempstead Rd|Ste C|New City|NY|109561143|8453623222|8453622508|||2013-11
-14T23:12:12.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:1
2:13.0Z|N||v10_6|1750482394|1750482394001||||||||||||||||41.14964|-74.03305|Y|AM
6018548555001|||||Aronoff|Alvin||DDS||211 North Main Street||New City|NY|10956|2
11 N Main St||New City|NY|109564019|8456344624|8456340489|||2013-11-14T22:53:55.
0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:53:56.0Z|N||v1
0_6|1306908777|1306908777001||||||||||||||||41.15739|-73.989|Y|
6018887086001|||||Wright|George||||125 Canis Heights Drive||Los Angeles|CA|90071
|125 Canis Heights Drive||Los Angeles|CA|90071|||||2013-11-14T10:23:34.0Z|2063-1
1-14T10:23:33.0Z|CIMessage~CIEvent|EdgeToolPortal|2013-11-14T10:23:34.0Z|N||v10_
6||||||||||||||gendoc01@edge.cert.direct-ci.com|PNLIMMUN|CI EDI||34.05223|-118.2
5542|N|
6019339921002|||EM||Larson|James|L|MD||EMERGENCY MEDICINE|CB#7549 NEUROSCIENCES
HOSPITAL|CHAPEL HILL|NC|27599|Emergency Medicine||Chapel Hill|NC|275990001|91984
33045|9199663049|||2013-10-18T14:57:16.0Z|2014-11-14T05:00:00.0Z|New~Refill|UNC1
0.6|2013-11-14T16:12:07.0Z|U|New|v10_6|1114007325|1114007325002||||||||||||||||3
5.90427|-79.05092|N|AM
6020202365001|||AN||Rocole|Tricia|A|CRNA|COMMUNITY MEMORIAL HOSPITAL|855 S MAIN
ST||OCONTO FALLS|WI|54154|855 S Main St||Oconto Falls|WI|541541296|9208463444|92
08462013|||2013-08-19T21:17:58.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2
013-11-14T20:00:45.0Z|U|New|v10_6|1295825578|1295825578001||||||||||||||||44.866
77|-88.12852|Y|AM
6020663434001||sampleStateLicenseNumber||sample|LastTest|FirstTest1|sampleMiddle
Name1|ACNP1|sampleClinicName|THT Street|sampleAddressLine2|Allen Park|MI|70000|T
ht Street||Allen Park|MI|70000|9090909090|9090909090|mail@mail.com|9090909090^NP
|2012-04-04T08:36:49.0Z|2013-11-14T12:47:55.0Z|New|AmericanChoice|2013-11-14T12:
47:55.0Z|D|New|v10_6|0000000000|0000000000001|PA|sampleid|sampleMedicareNumber|s
ampleMedicaidNumber|sampleDentistLicenseNumber|sampleUPIN|samplePPONumber|888888
888|sampleAuthorization||||||||||

ht Street||Allen Park|MI|70000|8877665544|7766554433|mail@mail.com|8877665544^WP
~8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-14T08:03:11.0Z|
2013-11-14T01:02:11.0Z|New|AmericanChoice|2013-08-14T08:03:11.0Z|D||v10_6|990211
1357|9902111357480|Doctor|sampleFileID|sampleMedicareNumber|sampleMedicaidNumber
|sampleDentistLicenseNumber|sampleUPIN|samplePPONumber|888888888|sampleAuthoriza
tion||||||||||
~8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-15T05:01:32.0Z|
tion||||||||||
~8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T05:26:52.0Z|
2014-02-13T21:26:52.0Z|New|AmericanChoice|2013-11-14T05:26:52.0Z|N||v10_6|992652
tion||||||||||
~8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T09:54:25.0Z|
tion||||||||||
~8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T12:47:34.0Z|
tion||||||||||
6021476554001||||MD|Bailey|Alex||MD||900 Hillsdale||RICHARDSON|TX|75081|900 Hill
sdale Dr||Richardson|TX|750815232|9725554444|9722345555|||2013-11-04T19:40:13.0Z
|2099-12-31T00:00:00.0Z|New|iMedicaTest106|2013-11-14T23:46:28.0Z|U|New~MedHisto
ry|v10_6mu2|0123456783|0123456783001||||||||||||||||32.93737|-96.71|Y|
6021651404002|||CLP||NEWMAN|SCHUYLER||||156 Route 59|Suite C-6|Suffern|NY|10901|
156 Route 59|Ste C6|Suffern|NY|109015010|8453694200|8453694212|||2013-11-14T23:0
7:05.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:07:05.0Z|
N||v10_6|1528002136|1528002136002||||||||||||||||41.11416|-74.12025|Y|AM
6022663705002|||FP||McGowan|Gary||MD||6800 LUCY CORR BLVD|CHESTERFIELD EMPLOYEE
MEDICAL|CHESTERFIELD|VA|23832|6800 Lucy Corr Ct||Chesterfield|VA|238326657|80431
88584|8047485054|||2013-11-12T20:03:10.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonS
ecoursTest|2013-11-14T22:22:32.0Z|U|New|v10_6|1497715478|1497715478002||||||||||
||||||37.38432|-77.50707|Y|AM
6023136883001|||||Bousman|Thomas|M|MD||1133 1ST COLONIAL RD||VA BEACH|VA|23454|1
133 First Colonial Rd||Virginia Beach|VA|234542402|7574962050|7574229241|||201311-14T22:31:53.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22
:31:53.0Z|N||v10_6|1437467115|1437467115001||||||||||||||||36.86753|-76.03022|Y|
AM
6023171302001||sampleStateLicenseNumber|AS|sample|LastTest|FirstTest|sampleMiddl
eName|ACNP|sampleClinicName|THT Street|sampleAddressLine2|Allen Park|MI|70000|Th
t Street||Allen Park|MI|70000|8877665544|7766554433|mail@mail.com|8877665544^WP~
8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-15T05:01:24.0Z|2
394|9959449394001|Doctor|sampleFileID|sampleMedicareNumber|sampleMedicaidNumber|
sampleDentistLicenseNumber|sampleUPIN|samplePPONumber|888888888|sampleAuthorizat
ion||||||||||AM
6024167903001|||||Shapiro|Deborah||MD||2 Crosfield Avenue|Suite 318|West Nyack|N
Y|10994|2 Crosfield Ave|Ste 318|West Nyack|NY|109942220|8453535600|8453535668|||
2013-11-14T23:11:08.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-1114T23:11:09.0Z|N||v10_6|1043204084|1043204084001||||||||||||||||41.09306|-73.977
05|Y|AM
6024231006001|||||Campolattaro|Robert||MD||901 ENTERPRISE PARKWAY||HAMPTON|VA|23
666|901 Enterprise Pkwy||Hampton|VA|236666249|7578272480|7578272015|||2013-11-14
T22:28:31.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:28:3
1.0Z|N||v10_6|1861490906|1861490906001||||||||||||||||37.05827|-76.40673|Y|AM
6024801444002|||||Richter|Michael|David|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1780816744|1780816744002||||||||||||||||32.81096|-96.83699|Y|
6025272355001|||||NQFB|NQFB|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
Shoal Creek Blvd||Austin|TX|787577652|5122225555|5124446666|||2013-11-14T01:25:
19.0Z|2033-11-14T01:24:24.0Z|New~Refill|eMDSolutionSeries10.6|2013-11-14T01:25:1
9.0Z|N||v10_6mu2|1326169590|1326169590001||||||||||||||||30.37025|-97.73773|Y|
6025311823001|||||Lifrieri|Carolyn||NP||Good Samaritan Hospital|257 Lafayette Av
enue|Suffern|NY|10901|257 Lafayette Ave||Suffern|NY|109014830|8453688800|8453685
608|||2013-11-14T23:24:51.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|20
13-11-14T23:24:51.0Z|N||v10_6|1700089117|1700089117001||||||||||||||||41.11222|74.13531|Y|
6025347967002|||||Lilley|Lisa|K.|RN||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201
Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-04-12T19:24:
07.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:02:10.0Z|U|New|v1
0_6|1831199025|1831199025002||||||||||||||||32.81096|-96.83699|Y|
6026690316001|||IM||Samuel|Maria||MD||3500 15 Mile Road||Sterling Heights|MI|483
10|3500 15 Mile Rd||Sterling Heights|MI|483105353|5869778990|5869776406|||2012-1
0-11T18:13:45.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:4
3:40.0Z|U|New|v10_6|1669540191|1669540191001||||||||||||||||42.54934|-83.07304|Y
|AM
6027868747001|||||Weck|Frederick||MD||222 Route 59||Suffern|NY|10901|222 Route 5
9||Suffern|NY|109015204|8453680422|8453683224|||2013-11-14T23:14:02.0Z|2014-11-1
4T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:14:02.0Z|N||v10_6|13664533
83|1366453383001||||||||||||||||41.11288|-74.11188|Y|AM
6028776873001|BB4334847||PD||Brooks|Kristi|F|MD|Get Well Clinic|73 Pu`uhonu Plac
e 1st Floor||Hilo|HI|96720|73 Puuhonu Pl|Fl 1|Hilo|HI|967202060|8089616304|80896
16310|||2006-08-30T17:41:22.0Z|2063-06-07T15:31:18.0Z|New~Refill|MOSTTest106|201
3-11-14T22:59:57.0Z|U|New~Refill|v10_6mu2|1841444692|1841444692001|Doctor~PA||||
|G14511||313-83-4567||||||||19.7167|-155.0977|Y|AM
6028776873002|BB4334847||PD||Brooks|Kristi|F|MD|Get Well Clinic|4141 Shore Drive
|P.o Box 1234|Indianapolis|IN|46254|4141 Shore Dr||Indianapolis|IN|462542607|317
1112222x123|2039480239|email@email.com||2013-06-11T18:13:16.0Z|2063-06-11T18:13:
14.0Z|New~Refill|MOSTTest106|2013-11-14T22:59:59.0Z|U|New~Refill|v10_6mu2|184144
4692|1841444692002|Doctor~PA|||||G14511||313-83-4567||||||||39.82918|-86.27917|Y
|AM
6028776873003|BB4334847||PD||Brooks|Kristi|F|MD|iSALUS Healthcare|212 W 10 St||I
ndianapolis|IN|46202|212 W 10th St|Ste B120|Indianapolis|IN|462025404|3176878119
|3175363978|||2013-06-12T04:47:05.0Z|2063-06-12T04:47:04.0Z|New~Refill|MOSTTest1
06|2013-11-14T23:00:01.0Z|U|New~Refill|v10_6mu2|1841444692|1841444692003|Doctor|
||||G14511||313-83-4567||||||||39.78113|-86.16198|Y|AM
6028954100001|||||Garrido|Marie||ANP||257 LAFAYETTE AVE|SUITE 360, BON SECOURS N
EUROLOGY|Suffern|NY|10901|257 Lafayette Ave|Ste 360|Suffern|NY|109014831|8453688
808|8453570709|||2013-11-14T23:24:26.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSec
oursTest|2013-11-14T23:24:26.0Z|N||v10_6|1922230028|1922230028001|||||||||||||||
|41.11222|-74.13531|Y|AM
6028985573003|||||FRAIMAN|MITCHELL||||6 Medical Park Drive||POMONA|NY|10970|6 Me
dical Park Dr||Pomona|NY|109703525|8453545000|8453549469|||2013-11-14T22:58:38.0
Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:58:38.0Z|N||v10
_6|1417931189|1417931189003||||||||||||||||41.16792|-74.03309|Y|
6030472620001|||D||Kwon|Jungho|L|MD||2825 Livernois||Troy|MI|48083|2825 Livernoi
s Rd||Troy|MI|480831214|2486806040|2486898091|||2013-02-27T22:39:17.0Z|2014-11-1
7213|1326257213001||||||||||||||||42.56009|-83.14866|Y|AM
6030747094001|||FP||Alper|Jason|B|DO|Sentara Family Med-First Colonial|1024 Firs
t Colonial Road|Suite 102|Virginia Beach|VA|23454|1024 First Colonial Rd|Ste 102
|Virginia Beach|VA|234543074|7573952540|7572759701|||2013-02-11T13:11:29.0Z|2014
-11-14T05:00:00.0Z|New~Refill|SentaraTest|2013-11-14T16:22:44.0Z|U|New~Refill|v1
0_6|1396718995|1396718995001||||||||||||||||36.86279|-76.02653|Y|AM
6031142634001|||||Kelley|Patrick|Sheen|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
5|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13T
14:50:59.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:02:39.0Z|U|
New|v10_6|1508853128|1508853128001||||||||||||||||32.81096|-96.83699|Y|
6032104460002|||FP||CICCONE|CHRISTOPHER||||4125 IRONBOUND RD|SUITE 200|WILLIAMSB
URG|VA|23188|4125 Ironbound Rd|Ste 200|Williamsburg|VA|231882666|7573452829|7573
450644|||2013-11-14T22:29:14.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest
|2013-11-14T22:29:14.0Z|N||v10_6|1659377356|1659377356002||||||||||||||||37.2746
1|-76.74011|Y|AM
6033175814001|IH1892332|5585452|||AbramsonERX|PaulERX|||My Doctor Medical Group|
450 Sutter Street Suite 300||San Francisco|CA|94108|450 Sutter St|Rm 300|San Fra
ncisco|CA|941083905|2937412219|8593078876|myca3492@qaquebec.com||2013-09-05T14:2
6:16.0Z|2099-02-01T14:26:15.0Z|New~Refill|HelloHealthTest106|2013-11-14T07:48:04
.0Z|U|New|v10_6mu2|1371821434|1371821434001||||||||||||||||37.78942|-122.40779|Y
|
6033487052001|||||Seif|Yehuda||MD||3 College Road||Monsey|NY|10952|3 College Rd|
|Monsey|NY|109522833|8453577766|8453575151|||2013-11-14T23:10:42.0Z|2014-11-14T0
5:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:10:42.0Z|N||v10_6|1760566640|
1760566640001||||||||||||||||41.11083|-74.09044|Y|AM
6035660896001|||IM||Brooks|Michael|R|MD||2414 Kohler Memorial Dr||Sheboygan|WI|5
3081|2414 Kohler Memorial Dr||Sheboygan|WI|530813129|9204574461|9204591483|||201
3-08-25T13:32:13.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:0
1:02.0Z|U|New|v10_6|1942358403|1942358403001||||||||||||||||43.75761|-87.73837|Y
|AM
6035872152001|||||Weissman|Harold||MD||12 A. North Airmont Road||Suffern|NY|1090
1|12A N Airmont Rd||Suffern|NY|109015152|8453575900|8453575939|||2013-11-14T23:1
N||v10_6|1194886614|1194886614001||||||||||||||||41.11435|-74.11403|Y|AM
6036332941001|||||Greenbaum|Stanley||MD||12A N AIRMONT RD||SUFFERN|NY|10901|12A
N Airmont Rd||Suffern|NY|109015152|8453682007|8453681360|||2013-11-14T23:00:12.0
_6|1073655775|1073655775001||||||||||||||||41.11435|-74.11403|Y|AM
6036538117001|||||Semble|Richard||MD||99 Dutch Hill Road||Orangeburg|NY|10962|99
Dutch Hill Rd||Orangeburg|NY|109622185|8453591877|8453592449|||2013-11-14T23:10
:52.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:10:53.0Z|N
||v10_6|1306813928|1306813928001||||||||||||||||41.04344|-73.95479|Y|AM
6038212612001|||||Pellicone|John||MD||51-55 Route 9W||West Haverstraw|NY|10993|5
1-55 N Route 9W||West Haverstraw|NY|109931195|8457864060|8457864066|||2013-11-14
6.0Z|N||v10_6|1104828169|1104828169001||||||||||||||||41.21389|-73.98606|Y|AM
6039825834001|||EM||Fortin|Jeannine|Marie|MD|AURORA HEALTH CARE|1100 ORCHID DRIV
E||SEYMOUR|WI|54165|1100 Orchid Drive||Seymour|WI|54165|9208335100|9208335130|||
2013-08-25T12:38:00.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T2
0:01:10.0Z|U|New|v10_6|1174556450|1174556450001||||||||||||||||44.51353|-88.3250
1|N|AM
6043698359001|||||Muschel|Michael||MD||222 Route 59|Suite 302|Suffern|NY|10901|2
22 Route 59|Ste 302|Suffern|NY|109015208|8453680100|8453683866|||2013-11-14T23:0

N||v10_6|1417977596|1417977596001||||||||||||||||41.11288|-74.11188|Y|AM
6044526161001|AL9185376||||Lowenstein|Robert|||Faxton St Lukes Healthcare|1656 C
hamplin Ave||New Hartford|NY|13413|1656 Champlin Ave||New Hartford|NY|134131068|
3156246112|3156246308|rjones1@mvnhealth.com||2013-11-14T20:15:56.0Z|2099-12-31T0
0:00:00.0Z|New|AllScripts106|2013-11-15T00:40:27.0Z|N|New|v10_6mu2|1891719621|18
91719621001||||||||||||||||43.09441|-75.27991|N|
6044920729001|||||Rippon|Mary|B|||890 WEST FARIS ROAD|SUITE 320|Greenville|SC|29
605|890 W Faris Rd|Ste 320|Greenville|SC|296054281|8644551200|8644551209|||201311-14T23:36:55.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:36:55.0Z|N||v10_6|1184674558|1184674558001||||||||||||||||34.81755|-82.41052|Y|
AM
6046266097001|||||Cohn|Sheldon|L|MD||230 Clearfield Ave., Suite 124||Virginia Be
ach|VA|23462|230 Clearfield Ave|Ste 124|Virginia Beach|VA|234621832|7573213300|7
573213330|||2013-11-12T20:34:51.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursT
est|2013-11-14T23:46:56.0Z|U|New|v10_6|1164400909|1164400909001||||||||||||||||3
6.84545|-76.1634|Y|AM
6046597410001|||||MAXSUPERVISINGPRESCR|MAXSUPERVISINGP||||!"#$%'()*+,-/:;=?@[\]\
S\_`{\F\}\R\0000& >|!"#$%'()*+,-/:;=?@[\]\S\_`{\F\}\R\0000& >|!"#$%'()*+,-/:;=?@
[\|CO|803615977|!"#$%'()*+,-/:;=?@[\]\S\_`{\F\}\R\0000& >||!"#$%'()*+,-/:;=?@[\|
CO|80361|7034445527|7034445228|||2013-11-14T21:40:30.0Z|2099-12-31T00:00:00.0Z|N
ew~Refill|SSIMED|2013-11-14T21:40:31.0Z|N||v10_6mu2|1111111113|1111111113001||||
|||||||||||||||
6047366649001|||US||Ray|Cynthia||MD||2799 West Grand Blvd.||DETROIT|MI|48202|279
9 W Grand Blvd||Detroit|MI|482022608|3139162421|3139163017|||2012-10-11T18:12:49
.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42:08.0Z|U|New
|v10_6|1851469381|1851469381001||||||||||||||||42.36731|-83.08504|Y|AM
6047591451001|||||Perkins|Deborah|H|NP||1600 Westbrook Avenue||Richmond|VA|23227
|1600 Westbrook Ave||Richmond|VA|232273337|8042646033|8042646059|||2013-11-14T23
Z|N||v10_6|1841449279|1841449279001||||||||||||||||37.59832|-77.46271|Y|
6047815975001|||||Assem|Sophia||CRNA||Good Samaritan Hospital|255 Lafayette Aven
ue|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685029|845368532
-11-14T23:23:36.0Z|N||v10_6|1083856207|1083856207001||||||||||||||||41.11199|-74
.13325|Y|
6050515041001|||||Atchie|Benjamin|Neil|DO||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1134402415|1134402415001||||||||||||||||32.81096|-96.83699|Y|
6051403072001|||D||Maggiolino|Giacomo||MD|DERMATOLOGY ASSOCIATES OF WI SC|1515 R
ANDOLPH CT||MANITOWOC|WI|54220|1515 Randolph Ct||Manitowoc|WI|542208345|92048205
96|9206832131|||2013-08-19T21:12:43.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaT
est|2013-11-14T20:01:19.0Z|U|New|v10_6|1699924100|1699924100001||||||||||||||||4
4.08065|-87.70897|Y|AM
6052371708001|||||McAdam|Richard|B|MD||2102 EXECUTIVE DRIVE||HAMPTON|VA|23666|21
02 Executive Dr||Hampton|VA|236662402|7578381844|7578384419|||2013-11-14T22:37:4
4.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:37:44.0Z|N||
v10_6|1437141801|1437141801001||||||||||||||||37.04687|-76.39606|Y|AM
6052903161001|LB1252524|||Dr.|Ball|Lucille|erx||Anchor Hospital|5454 Yorktowne D
rive||Atlanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|7702581414|67
85225151|||2013-11-14T18:14:10.0Z|2099-12-31T12:00:00.0Z|New~Refill|GreenwayTest
106|2013-11-14T18:14:10.0Z|N||v10_6|1434567891|1434567891001||||||||||||||||33.6
0634|-84.45192|Y|
6053479609002|||PD||Walburn|John|N|MD||982167 Nebraska Med Ctr|UNMC Physicians-P
ediatrics|Omaha|NE|68198|982167 Nebraska Medical Ctr||Omaha|NE|681982167|4025594
208|4025597929|jwalburn@unmc.edu||2013-01-28T16:44:00.0Z|2014-02-08T06:00:00.0Z|
New~Refill|TCHOmahaTest10dot6|2013-11-14T19:22:43.0Z|U|New~Refill|v10_6|15684140
35|1568414035002||||||||||||||||41.2549|-95.97579|N|AM
6053726413001|||||Patel|Kashyap|B|||1583 HEALTHCARE DRIVE|CAROLINA BLOOD AND CAN

CER CARE|Rock Hill|SC|29732|1583 Health Care Dr||Rock Hill|SC|297323858|80332977
72|8033299821|||2013-11-12T20:33:55.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSeco
ursTest|2013-11-14T23:37:44.0Z|U|New|v10_6|1578675104|1578675104001|||||||||||||
|||34.95109|-81.04975|Y|AM
6053763705001|||END||Rao|Sudhaker||MD||3031 West Grand Blvd., 8th Floor||DETROIT
|MI|48202|3031 W Grand Blvd|Fl 8|Detroit|MI|482023046|3139162092|3139169683|||20
12-10-11T18:07:16.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T
19:37:56.0Z|U|New|v10_6|1942378476|1942378476001||||||||||||||||42.36928|-83.076
42|Y|AM
6058332415002|||EM||Ahn|Joseph|Y|MD|INFINITY HEALTHCARE INC|111 E WISCONSIN AV S
TE 2100||MILWAUKEE|WI|53202|111 E Wisconsin Ave|Ste 2100|Milwaukee|WI|532024809|
4142906700|4142906755|||2013-10-18T20:33:23.0Z|2014-11-14T06:00:00.0Z|New|Prevea
Test|2013-11-14T20:01:22.0Z|U|New|v10_6|1487789863|1487789863002||||||||||||||||
43.03834|-87.90929|Y|AM
6058391585002|||||Khan|Nadeem|A|MD||13048 Rivers Bend Boulevard|Colonial Orthopa
edics|chester|VA|23836|13048 Rivers Bend Rd||Chester|VA|238362564|8045303330|804
5309998|||2013-11-12T20:07:50.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTes
t|2013-11-14T22:24:35.0Z|U|New|v10_6|1851357222|1851357222002||||||||||||||||37.
35002|-77.36566|Y|AM
6060418038001|||OBG||Nohl|James||MD||19401 Hubbard Drive||Dearborn|MI|48126|1940
1 Hubbard Dr||Dearborn|MI|481262641|3139828243|3139828686|||2012-10-11T18:11:22.
0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:40:45.0Z|U|New|
v10_6|1124067715|1124067715001||||||||||||||||42.31962|-83.22818|Y|AM
6062956350001|||||Bareket|Henry||MD||134 Route 59||Suffern|NY|10901|134 Route 59
||Suffern|NY|109014917|8453575333|8453572347|||2013-11-14T22:54:19.0Z|2014-11-14
T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:54:19.0Z|N||v10_6|154829616
3|1548296163001||||||||||||||||41.11367|-74.12251|Y|AM
6063548807001|||N||Zweifel|Thomas|John|DO|PREVEA HEALTH|1440 NORTH 25TH ST||SHEY
BOYGAN|WI|53081|1440 N 25th St||Sheboygan|WI|530813108|9204573737|9204571012|||2
:01:29.0Z|U|New|v10_6|1114027307|1114027307001||||||||||||||||43.7607|-87.73989|
Y|AM
6064088142001|AI2465260||||PROVIDER|PROVIDER|||LMTA EPRE Healthcare One|1 MASON|
|SCHENECTADY|NY|12345||||||5132048937|5132048939|||2013-11-12T06:18:25.0Z|2096-1
1-14T12:13:05.0Z|New~MedHistory|MedPlusQA4|2013-11-14T12:11:18.0Z|U|New~MedHisto
ry|v4_20|4382375986|4382375986001|||||||||||||||||||
6065019146002|||||HESS|JAMES||||1101 1ST COL RD #101||VA BEACH|VA|23454|1101 Fir
st Colonial Rd|Ste 101|Virginia Beach|VA|234542409|7574969020|7574810638|||201311-14T23:56:30.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:56:31.0Z|N||v10_6|1124092747|1124092747002||||||||||||||||36.86601|-76.02974|Y|
6065283692001|||IMG||Patel|Dhirendra|K|MD||2220 N MONROE STREET||DECATUR|IL|6252
6|2220 N Monroe St||Decatur|IL|625266304|2178779775|2178779806|||2013-08-25T13:4
0:53.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:01:30.0Z|U|Ne
w|v10_6|1306837471|1306837471001||||||||||||||||39.86549|-88.96305|Y|AM
6065317565001|||||Shapiro|Lawrence||MD||503 Grasslands Road|Suite 200|Valhalla|N
Y|10595|503 Grasslands Rd|Ste 200|Valhalla|NY|105951593|9143045313|9143451753|||
5|Y|AM
6065979463001|||PD||Thompson|Ann||PA|UNMC Gen Peds|989400 Nebraska Med Ctr|NMC P
EDIATRICS|OMAHA|NE|68198|989400 Nebraska Medical Ctr||Omaha|NE|681989400|4029558
125|4029558140|||2013-01-28T16:54:22.0Z|2014-11-14T06:00:00.0Z|New~Refill|TCHOma
haTest|2013-11-14T19:57:22.0Z|U|New~Refill|v10_6|1235181835|1235181835001|||||||
|||||||||41.2549|-95.97579|N|AM
6065979828001|||||Secondname Longest D|Longest Firstname Dr|||Surescripts Certif
ication Roselle|25W215 Lake Street||Roselle|IL|60172|25W215 Lake St||Roselle|IL|
601723132|6303077600|6303077600|||2013-11-14T16:29:29.0Z|2019-01-01T00:00:00.0Z|
New~Refill|TotalSource106Test|2013-11-14T16:29:30.0Z|N||v10_6mu2|8934825612|8934
825612001||||||||||||||||41.97059|-88.11669|Y|
6066114310002|||GS||Tatar|Eric||MD||2 Medical Park Dr||West Nyack|NY|10994|2 Med

ical Park Dr||West Nyack|NY|109941965|8453623300|8453628001|||2013-10-09T20:35:3
1.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:13:18.0Z|U|N
ew|v10_6|1134179393|1134179393002||||||||||||||||41.09564|-73.98315|Y|AM
6066115414001|||IMG||Abushukur|Muawia||MD||7800 West Outer Drive||Detroit|MI|482
35|7800 W Outer Dr||Detroit|MI|482353456|3135436200|3135436233|||2012-10-11T18:1
5:04.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:45:29.0Z|U
|New|v10_6|1720297211|1720297211001||||||||||||||||42.42028|-83.2147|Y|AM
6066787196001|||IM||Brehmer|Charles||MD||909 Hioaks Road, Suite J|Charles Brehme
r MD PC|Richmond|VA|23225|909 Hioaks Rd|Ste J|Richmond|VA|232254038|8043206762|8
est|2013-11-14T22:19:53.0Z|U|New~Refill|v10_6|1932100104|1932100104001||||||||||
||||||37.51315|-77.52422|Y|AM
6067653504001|||||Pollio|Patricia||MD||134 Route 59||Suffern|NY|10901|134 Route
59||Suffern|NY|109014917|8453575333|8453572347|||2013-11-14T23:08:04.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:08:04.0Z|N||v10_6|1417936
972|1417936972001||||||||||||||||41.11367|-74.12251|Y|AM
6067697386001|||||Jorgensen|Anne||NP||Good Samaritan Hospital|255 Lafayette Aven
-11-14T23:24:34.0Z|N||v10_6|1528337698|1528337698001||||||||||||||||41.11199|-74
.13325|Y|
6067838717001|||||Shearer|Bonnie|I|PA||989400 NE MED CTR|UNMC PHYSICIANS|OMAHA|N
E|68198|989400 NE Med Ctr||Omaha|NE|681980001|4025594208|4025597929|||2013-11-14
T19:47:47.0Z|2014-11-14T06:00:00.0Z|New~Refill|TCHOmahaTest|2013-11-14T19:57:26.
0Z|N|New|v10_6|1932159753|1932159753001||||||||||||||||41.2549|-95.9758|N|AM
6069603515001|||||Sirop|Richard||MD||100 Route 59|Suite 104|Suffern|NY|10901|100
Route 59|Ste 104|Suffern|NY|109014927|8453575020|8453575033|||2013-11-14T23:12:
|v10_6|1023185840|1023185840001||||||||||||||||41.11318|-74.12599|Y|AM
6070206241001|||||Root|Lee||MD||972 Route 45|Suite 103|Pomona|NY|10970|972 Route
45|Ste 103|Pomona|NY|109703566|8453621500|8453621600|||2013-11-14T23:09:36.0Z|2
014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:09:36.0Z|N||v10_6|
1700838760|1700838760001||||||||||||||||41.16965|-74.03323|Y|AM
6070436129001|AK6557043||||provider|JanQA|||CA Jan QA Site|123 Main St.|Ste 104|
Chicago|CA|60115|123 Main St|Ste 104|Chico|CA|959285433|3125555555|3125554444|ja
nani.sambedu@allscripts.com||2012-10-30T07:10:20.0Z|2099-12-31T00:00:00.0Z|New~R
efill~ControlledSubstance|AllScripts81e|2013-11-14T07:09:33.0Z|U|New~Refill~Cont
rolledSubstance|v8_1e|1235198177|1235198177001||||||||||||||||39.73057|-121.8405
7|Y|
6070436129004|AK6557043||||provider|JanQA|||Jan WI Site|#4,WI road||WI city|WI|1
4569|#4,Wi Road||Warsaw|NY|14569|8879653211|3125554444|janani.sambedu@allscripts
.com||2013-11-14T05:21:54.0Z|2099-12-31T00:00:00.0Z|New~Refill~ControlledSubstan
ce|AllScripts81e|2013-11-14T05:21:54.0Z|N||v8_1e|1235198177|1235198177004|||||||
|||||||||42.73673|-78.13735|N|
6070589042001|||||Mittler|Barbara||DPM||96 Townline Road||Pearl River|NY|10965|9
6 Townline Rd||Pearl River|NY|109651234|8457359222|8457359450|||2013-11-14T23:06
||v10_6|1699772145|1699772145001||||||||||||||||41.07707|-74.01026|Y|
6070973428002|||ORS||Graham|R|M|MD||100 Kingsley Lane|Suite 300|NORFOLK|VA|23505
|100 Kingsley Ln|Ste 300|Norfolk|VA|235054613|7578896580|7578896583|||2013-10-19
6.0Z|U|New|v10_6|1083625511|1083625511002||||||||||||||||36.89872|-76.28005|Y|AM
6073148325001|||||Pitman|John|Jr.|MD||326 MONTICELLO AVE||WILLIAMSBURG|VA|23185|
326 Monticello Ave||Williamsburg|VA|231852834|7572294958|7572293118|||2013-11-14
3.0Z|N||v10_6|1104861509|1104861509001||||||||||||||||37.27992|-76.72504|Y|AM
6074088165001|||||Cohen|Edith|J|||1020 Independence Blvd|Suite 202|VA BEACH|VA|2
3455|1020 Independence Blvd|Ste 202|Virginia Beach|VA|234555542|7574646944|75746
46952|||2013-11-14T23:46:53.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|
2013-11-14T23:46:53.0Z|N||v10_6|1124091236|1124091236001||||||||||||||||36.87338
|-76.13279|Y|AM
6076075921001|||||Wheeler|James|||Happy Valley Clinic|300 Main St||Charlotte|NC|
28277|300 Main St||Charlotte|NC|28277|7042430143|7042430143|collie.gingles@lashg
roup.com||2013-11-12T16:02:21.0Z|2099-01-01T00:00:00.0Z|New~Refill~Change~Cancel
|LashGroupTest|2013-11-14T01:14:51.0Z|U|New~Change~Cancel|v10_6mu2|1760406029|17
60406029001||||||||||||||||35.06785|-80.81988|N|
6076725541001|||||Greene|Jonnie|L|NP||Internal Medicine Associates|1025 Verdae B
oulevard, Suite A|Greenville|SC|29607|1025 Verdae Blvd|Ste A|Greenville|SC|29607
4032|8642424683|8642408104|||2013-11-14T23:23:02.0Z|2014-11-14T05:00:00.0Z|New~R
efill|BonSecoursTest|2013-11-14T23:23:02.0Z|N||v10_6|1982683926|1982683926001|||
|||||||||||||34.83533|-82.31715|Y|
6077301862001|||US||Westenhaver|Teresa||APN|PMG Champaign IM|410 E University|Su
ite 200|Champaign|IL|61820|410 E University Ave|Ste 200|Champaign|IL|618203871|2
173529755|2173529725|teresa.westenhaver@provena.org||2013-09-03T20:05:41.0Z|2014
-11-14T06:00:00.0Z|New~Refill|ResurrectionTest4x|2013-11-14T17:15:00.0Z|U|New|v1
0_6|1760782650|1760782650001||||||||||||||||40.11647|-88.23342|Y|AM
6077525882001|||FP||Romer|Leigh|A|PA||1000 Ashland Drive|Tri-State Pediatrics, S
uite 102|Ashland|KY|41101|1000 Ashland Dr||Ashland|KY|411017084|6068360919|60683
2013-11-14T23:21:25.0Z|U|New|v10_6|1124158225|1124158225001||||||||||||||||38.51
004|-82.69013|N|AM
6078979195002|||FP||Bowling|Donald||||Courtland Medical Center|22708 Main Street
|Courtland|VA|23837|22708 Main St||Courtland|VA|238371127|7576532007|7576532066|
||2013-11-14T23:43:13.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-1
1-14T23:43:13.0Z|N||v10_6|1821290131|1821290131002||||||||||||||||36.71066|-77.0
5935|Y|AM
6080302428001|||||Tientcheu|Danielle|Djoumbi|MD||5201 HARRY HINES BLVD||DALLAS|T
X|75235|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||201306-13T14:48:53.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:06:13
.0Z|U|New|v10_6|1851528582|1851528582001||||||||||||||||32.81096|-96.83699|Y|
309504001|||||||||||||||||||
6081233267001|||N||Taylor|Danette||DO||6777 West Maple Road||WEST BLOOMFIELD|MI|
48322|6777 W Maple Rd||West Bloomfield|MI|483223013|2486616466|2486616442|||2012
-10-11T18:14:42.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19
:44:57.0Z|U|New|v10_6|1376624296|1376624296001||||||||||||||||42.53865|-83.40706
|Y|AM
6081997590001|||||Frisina|Natale||MD||Good Samaritan Hospital|OP Frawley|Suffern
|NY|10901|Good Samaritan Hospital||Suffern|NY|10901|8453685222|8453685322|||2013
-11-14T22:58:51.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T2
2:58:51.0Z|N||v10_6|1508950890|1508950890001||||||||||||||||41.12422|-74.10845|N
|AM
6082735914001|||FP||Cmh|Physician||MD||340 NORTH GREEN BAY AVENUE|CMH PRIMARY CA
RE CLINIC|GILLETT|WI|54124|340 N Green Bay Ave||Gillett|WI|541249325|9208552823|
9208556343|||2013-08-19T21:18:01.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest
|2013-11-14T20:01:49.0Z|U|New|v10_6|1093739724|1093739724001||||||||||||||||44.8
9612|-88.29648|Y|AM
6083267925001|||||Codispoti|Andre||MD||7 Hemion Road||Suffern|NY|10901|7 Hemion
Rd||Suffern|NY|109014919|8453570741|8457834133|||2013-11-14T22:56:33.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:56:34.0Z|N||v10_6|1588679
344|1588679344001||||||||||||||||41.11437|-74.13092|Y|AM
6083592785001|||||Test Application User|Doctor 1|Testing||SAN ANTONIO WEST DIALY
SIS|4530 CALLAGHAN RD||SAN ANTONIO|TX|78228|4530 Callaghan Rd||San Antonio|TX|78
2282617|2104319048|2104318934|||2013-11-14T18:33:34.0Z|2099-12-31T00:00:00.0Z|Ne
w~Refill|DavitaDialysis|2013-11-14T18:33:35.0Z|N||v10_6|1770513061|1770513061001
||||||||||||||||29.47159|-98.60189|Y|
6084268906004|AF1243120||||MICHAEL|LANDREMAN|||Mike's 11.2 Test Org|PAIN MGMT W/
EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|OH|450

40|5132042340|5137707700|||2011-10-10T17:32:31.0Z|2096-11-14T17:05:55.0Z|New~Med
History|MedPlusQA4|2013-11-14T17:04:08.0Z|U|New~MedHistory|v4_20||||||||||||||||
|||||
6084788531001|||||Harris|Leon||MD||2 Crosfield Avenue|Suite 318|West Nyack|NY|10
994|2 Crosfield Ave|Ste 318|West Nyack|NY|109942220|8453535600|8453535668|||2013
3:00:57.0Z|N||v10_6|1902892326|1902892326001||||||||||||||||41.09306|-73.97705|Y
|AM
6084901894006|||R||DUBOVSKY|ELIZABETH||||695 Dutchess Turnpike #105||Poughkeepsi
e|NY|12603|695 Dutchess Tpke|Ste 105|Poughkeepsie|NY|126036443|8886475979|888847
013-11-14T22:57:41.0Z|N||v10_6|1659394013|1659394013006||||||||||||||||41.6988|73.88263|Y|AM
6085007154001|||||Deshmukh|Vinay||||225 BALDWIN AVE|CAROLINA NEUROSURGERY & SPIN
E|CHARLOTTE|NC|28204|225 Baldwin Ave||Charlotte|NC|282043109|7043761605|70433584
3-11-14T23:37:56.0Z|U|New|v10_6|1144228933|1144228933001||||||||||||||||35.21186
|-80.82918|Y|AM
6088097798001|||||Glassman|Charles||MD||7C Medical Park Drive||Pomona|NY|10970|7
C Medical Park Dr||Pomona|NY|109703575|8453621110|8453620111|||2013-11-14T22:59:
|v10_6|1619050994|1619050994001||||||||||||||||41.16691|-74.0337|Y|AM
6088212645001|||IM||Kaveeshvar|Mohantara||MD||29200 Schoolcraft Road||Livonia|MI
|48150|29200 Schoolcraft Rd||Livonia|MI|481502228|7345232420|3135232464|||2012-1
4:26.0Z|U|New|v10_6|1821166372|1821166372001||||||||||||||||42.38442|-83.33006|Y
|AM
6088561462002|||PLM||Jennings|Cara|A|MD||5855 Bremo Road|Bon Secours Palliative
Medicine|Richmond|VA|23226|5855 Bremo Rd||Richmond|VA|232261930|8042882673|80428
2013-11-14T23:18:37.0Z|U|New|v10_6|1174783716|1174783716002||||||||||||||||37.58
414|-77.51271|Y|AM
6088899607001|ER1234568|||Dr.|Rashid|Erin|||EPCS Testing Clinic|716 Main Street|
2nd Floor|Waltham|MA|02451|716 Main St|Ste 2|Waltham|MA|024510632|8888476814|888
8476814|||2013-10-23T16:09:36.0Z|2015-01-23T16:11:50.0Z|New~ControlledSubstance|
RefillManagerEPCS|2013-11-14T18:42:12.0Z|U|New~ControlledSubstance|v10_6|1750431
250|1750431250001||||||||||||||||42.3759|-71.23873|Y|
6089440047001|||||Nwosu|Onamma|Chikamnene|MD||5201 HARRY HINES BLVD||DALLAS|TX|7
5235|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-0613T14:46:20.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:07:01.0Z
|U|New|v10_6|1194764159|1194764159001||||||||||||||||32.81096|-96.83699|Y|
6089881281001|||||Jacob|Roy|George|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1851596530|1851596530001||||||||||||||||32.81096|-96.83699|Y|
6090561153001|||||Test Application User|FARN|||SAN ANTONIO WEST DIALYSIS|4530 CA
LLAGHAN RD||SAN ANTONIO|TX|78228|4530 Callaghan Rd||San Antonio|TX|782282617|210
4319048|2104318934|||2013-11-09T00:44:27.0Z|2013-11-14T06:41:00.0Z||DavitaDialys
is|2013-11-14T06:41:00.0Z|D|New|v10_6|1922063550|1922063550001||||||||||||||||29
.47159|-98.60189|Y|
6091000862001|||||Ibrahim|Wagdi||MD||275 North Middletown Road|Suite 1-F|Pearl R
iver|NY|10965|275 N Middletown Rd|Ste 1F|Pearl River|NY|109651189|8457356699|845
t|2013-11-14T23:01:49.0Z|N||v10_6|1467459685|1467459685001||||||||||||||||41.069
15|-74.01359|Y|AM
386768001|||||||||||||||||||
6092390528002|||OTO||Darrat|Ilaaf||MD||19401 Hubbard Drive||Dearborn|MI|48126|19

401 Hubbard Dr||Dearborn|MI|481262641|3139828172|3139828040|||2013-02-27T22:37:3
1.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42:26.0Z|U|Ne
w|v10_6|1205047453|1205047453002||||||||||||||||42.31962|-83.22818|Y|AM
6092985988001|||||Shapiro|Carin||MD||260 North Little Tor Road||New City|NY|1095
6|260 N Little Tor Rd||New City|NY|109562627|8457082000|8456390375|||2013-11-14T
.0Z|N||v10_6|1336217850|1336217850001||||||||||||||||41.1631|-74.00279|Y|AM
6093336702001|||CD||Adleman|Sharon|M|NP||900 S. WEBSTER AVE||GREEN BAY|WI|54301|
900 S Webster Ave||Green Bay|WI|543013508|9204361357|9204333705|||2013-08-25T13:
46:40.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:01:55.0Z|U|N
ew|v10_6|1043250517|1043250517001||||||||||||||||44.49973|-88.01247|Y|AM
6093631417001|||||Zemel|Anna||MD||500 New Hempstead Road||New City|NY|10956|500
New Hempstead Rd||New City|NY|109561132|8453624014|8453624017|||2013-11-14T23:14
||v10_6|1811971252|1811971252001||||||||||||||||41.14964|-74.03305|Y|AM
6093785833002|||||Bevan|Catherine|Irene|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1467682765|1467682765002||||||||||||||||32.81096|-96.83699|Y|
6094074112001|||||Kuz|Iris|||Main clinic|500 z||New York|NY|10008|500 Z||New Yor
k|NY|10008|4162565689X12354|4155689665|iriskuz@nightingalemd.com|4161234567^TE~6
471234567^WP~4167654321^FX|2013-11-14T18:26:52.0Z|2099-02-01T00:00:00.0Z|New~Ref
ill|Nightengale|2013-11-14T18:26:52.0Z|N||v10_6mu2|1239597390|1239597390001||100
4578:49:1||||||||||||||40.71235|-74.00994|N|AM
6094958413001|||||Kim|Jennifer||CRNA||Good Samaritan Hospital|255 Lafayette Aven
-11-14T23:24:37.0Z|N||v10_6|1326184540|1326184540001||||||||||||||||41.11199|-74
.13325|Y|
354702001|||||||||||||||||||
354702002|||||||||||||||||||
6097697414001|||FP||Kaneb|Gretchen||MD||41 Park Creek Drive|, Greenville Veteran
s Clinic|Greenville|SC|29605|41 Park Creek Dr||Greenville|SC|296054270|864299160
0|8644222623|||2013-11-08T01:10:41.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecou
rsTest|2013-11-14T22:16:57.0Z|U|New|v10_6|1164506002|1164506002001||||||||||||||
||34.81537|-82.41439|Y|AM
6097972452002|||||Ivleva|Elena|Ivanovna|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1871760942|1871760942002||||||||||||||||32.81096|-96.83699|Y|
6098390761001|||D||Chaffins|Marsha||MD||3031 West Grand Blvd., 8th Floor||DETROI
T|MI|48202|3031 W Grand Blvd|Fl 8|Detroit|MI|482023046|3139162151|3139165334|||2
012-10-11T18:10:10.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14
T19:40:01.0Z|U|New|v10_6|1184702219|1184702219001||||||||||||||||42.36928|-83.07
642|Y|AM
6098761326001|||||Berezin|Marc||MD||99 Dutch Hill Road||Orangeburg|NY|10962|99 D
utch Hill Rd||Orangeburg|NY|109622185|8453591877|8453592449|||2013-11-14T22:54:4
v10_6|1063489318|1063489318001||||||||||||||||41.04344|-73.95479|Y|AM
6100166258001|||||Logalbo|Peter||MD||1 Crosfield Avenue|Suite 201|West Nyack|NY|
13-11-14T23:05:11.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14
T23:05:11.0Z|N||v10_6|1700825395|1700825395001||||||||||||||||41.0925|-73.97863|
Y|AM
6101072315002|||PD||Payne|Thomas||||895 Middle Ground Boulevard|Suite 200, Pedia
trics at Oyster Poi|NEWPORT NEWS|VA|23606|895 Middle Ground Blvd|Ste 200|Newport
News|VA|236064250|7575994090|7575994093|||2013-11-14T22:40:03.0Z|2014-11-14T05:
00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:40:03.0Z|N||v10_6|1992720510|19
92720510002||||||||||||||||37.09596|-76.46897|Y|AM
6101389917001|BA2945143||||Familynamechristophersonsonsonsonso|Christophersonson
sonsonsonsonsonson||||Longestaddresseverwowthisaddredfg 9||Thisisalongcitytolive
inimagineputti|NY|10023|Longestaddresseverwowthisaddredfg 9||New York|NY|10023|5
165704201|8552721129|||2013-11-14T20:58:07.0Z|2099-09-19T12:00:00.0Z|New|CoPilot
Test|2013-11-14T20:58:07.0Z|N||v10_6mu2|1104812809|1104812809001||||||||||||||||
40.77618|-73.98324|N|
6101581364001|||||Young|Alisha|Yi-Wen|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13T1
5:18:26.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:07:49.0Z|U|N
ew|v10_6|1811158751|1811158751001||||||||||||||||32.81096|-96.83699|Y|
6101897711001|||END||Wisgerhof|Max||MD||3031 West Grand Blvd., 8th Floor||DETROI
T19:38:05.0Z|U|New|v10_6|1508934043|1508934043001||||||||||||||||42.36928|-83.07
642|Y|AM
6103038298001|||ORS||Kalluri|Prakasam||MD||131 Jennick Drive|Colonial Orthopaedi
cs|Colonial Heights|VA|23834|131 Jennick Dr||Colonial Heights|VA|238344905|80452
ecoursTest|2013-11-14T22:18:13.0Z|U|New~Refill|v10_6|1558365445|1558365445001|||
|||||||||||||37.25132|-77.38483|Y|AM
6103816834001|||IMG||Beg|Mirza||MD||7800 West Outer Drive||Detroit|MI|48235|7800
W Outer Dr||Detroit|MI|482353456|3135436200|3135436233|||2012-10-11T18:12:35.0Z
|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:41:54.0Z|U|New|v1
0_6|1841364452|1841364452001||||||||||||||||42.42028|-83.2147|Y|AM
6104065472002|||||RAO|PRAKASCHANDRA||||719 West Nyack Road|Village Square - Room
300|West Nyack|NY|10994|719 W Nyack Rd||West Nyack|NY|109942240|8453588678|7183
|2013-11-14T23:08:50.0Z|N||v10_6|1376647511|1376647511002||||||||||||||||41.0935
9|-73.97151|Y|
6104138420001|||||Pucci|Anthony||DO||11 North Airmont Road|Suite A10|Suffern|NY|
10901|11 N Airmont Rd|Ste A10|Suffern|NY|109015103|8453681500|2014472809|||201311-14T23:08:20.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:08:20.0Z|N||v10_6|1255452447|1255452447001||||||||||||||||41.11376|-74.11311|Y|
6104336659001|||D||Ozog|David||MD||3031 West Grand Blvd.||Detroit|MI|48202|3031
W Grand Blvd||Detroit|MI|482023044|3139162151|3139165334|||2013-02-27T22:36:58.0
Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42:06.0Z|U|New|v
10_6|1083792113|1083792113001||||||||||||||||42.36992|-83.07618|Y|AM
6105408614001|||||Montague|Janice||MD||257 Lafayette Avenue||Suffern|NY|10901|25
7 Lafayette Ave||Suffern|NY|109014830|8453693550|8453693552|||2013-11-14T23:06:3
v10_6|1801818059|1801818059001||||||||||||||||41.11222|-74.13531|Y|AM
6105713161001|||||Friedman|Benyamin||MD||441 Route 306||WESLEY HILLS|NY|10952|44
1 Route 306||Monsey|NY|109521233|8453623185|8453549691|||2013-11-14T22:58:43.0Z|
|1407927742|1407927742001||||||||||||||||41.15484|-74.07085|Y|AM
6105956299001|||||Naidu|Sashi||||1583 HEALTHCARE DRIVE|CAROLINA BLOOD AND CANCER
CARE|Rock Hill|SC|29732|1583 Health Care Dr||Rock Hill|SC|297323858|8033297772|
8033299821|||2013-11-12T20:33:58.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecours
Test|2013-11-14T23:37:47.0Z|U|New|v10_6|1245327279|1245327279001||||||||||||||||
34.95109|-81.04975|Y|AM
6106662946001|||US||Allenspach|Lisa||MD||2799 W. Grand Blvd.||Detroit|MI|48202|2
799 W Grand Blvd||Detroit|MI|482022608|3139162421|3139163017|||2013-02-27T22:36:
03.0Z|2014-11-14T05:00:00.0Z|New|HenryFordTest|2013-11-14T19:40:37.0Z|U|New|v10_
6|1083782502|1083782502001||||||||||||||||42.36731|-83.08504|Y|AM
6106724787001|||CCM||Sabbagh|Fadi||MD|EAU CLAIRE MEDICAL CLINIC|703 HAMILTON AVE

NUE||EAU CLAIRE|WI|54701|703 Hamilton Avenue||Eau Claire|WI|54701|7158399280|715
8399348|||2013-09-16T15:18:02.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2013-11-1
4T20:02:00.0Z|U|New|v10_6|1275597858|1275597858001||||||||||||||||44.80194|-91.4
857|N|AM
6106848511001|||IMG||Patel|Gaurang|P|MD||2220 N MONROE STREET||DECATUR|WI|62526|
2220 N Monroe St||Decatur|IL|625266304|2178779775|2178779806|||2013-08-25T13:40:
57.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:02:02.0Z|U|New|
v10_6|1871584946|1871584946001||||||||||||||||39.86549|-88.96305|Y|AM
6108924542001|BB7756224||||Bapana|Emmanuel|||Faxton St Lukes Healthcare|1656 Cha
mplin Ave||New Hartford|NY|13413|1656 Champlin Ave||New Hartford|NY|134131068|31
58675309|3156246308|rjones1@mvnhealth.com||2013-11-14T22:40:25.0Z|2099-12-31T00:
00:00.0Z|New|AllScripts106|2013-11-14T22:40:25.0Z|N||v10_6mu2|1093753923|1093753
923001||||||||||||||||43.09441|-75.27991|N|
6110107334001|||||Delahunty|Nigel|P|MD||325 medical parkway|Greer OB/GYN, suite
100|Greer|SC|29650|325 Medical Pkwy||Greer|SC|296502457|8647979200|8647979245|||
2013-11-12T19:46:42.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-1114T22:15:31.0Z|U|New|v10_6|1629013578|1629013578001||||||||||||||||34.92002|-82.
2435|Y|AM
6110187534001|||||Begley-Pritzker|Kathleen|B|NP||2 CROSFIELD AVE||West Nyack|NY|
10994|2 Crosfield Ave||West Nyack|NY|109942226|8453535600|8453535668|||2013-11-1
4T23:23:43.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:23:
43.0Z|N||v10_6|1699724518|1699724518001||||||||||||||||41.09306|-73.97705|Y|
6110243196002|||IM||Chinnery|Lind|Walter|MD||301 Riverview Avenue||Norfolk|VA|23
510|301 Riverview Ave||Norfolk|VA|235101065|7572276866|7572270298|||2013-10-04T1
2:25:27.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:29:06.
0Z|U|New|v10_6|1457310955|1457310955002||||||||||||||||36.85971|-76.3066|Y|AM
6110796169001|||||Malen|Bruce||MD||33 Ronald Reagan Boulevard|P.O. Box 833|Warwi
ck|NY|10990|33 Ronald Reagan Blvd||Warwick|NY|109904114|8459866601|8459866613|||
69|Y|AM
6111148154001|||||Deverna|Charles|J|MD||Hanover Emergency Services||Mechanicsvil
le|VA|23116|Hanover Emergency Services||Mechanicsville|VA|23116|8047646300|80476
2013-11-14T22:47:05.0Z|N||v10_6|1366678492|1366678492001||||||||||||||||37.6615|
-77.38458|N|AM
6111534950001|||||Fagelman|Eliott||MD||11 Medical Park Drive|Suite 101|Pomona|NY
|10970|11 Medical Park Dr|Ste 101|Pomona|NY|109703559|8453545800|8453545966|||20
T22:58:00.0Z|N||v10_6|1184668808|1184668808001||||||||||||||||41.16691|-74.03359
|Y|AM
6111566530002|||AN||Gajjar|Tushar||||400 SENTARA CIRCLE||WILLIAMSBURG|VA|23185|4
00 Sentara Cir||Williamsburg|VA|231885716|7573454400|7573454401|||2013-11-14T23:
52:44.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:52:45.0Z
|N||v10_6|1205860533|1205860533002||||||||||||||||37.33787|-76.74326|Y|AM
6112871002002|||GP||Hoffman|Richard||||1605 General Booth Blvd||Virginia Beach|V
A|23454|1605 General Booth Blvd||Virginia Beach|VA|234545691|7577210512|75772109
3-11-14T23:56:49.0Z|N||v10_6|1942310206|1942310206002||||||||||||||||36.78522|-7
6.00033|Y|AM
6113676418001|||||Rawles|John|G|MD||1400 Johnston Willis Drive S-A|West End Orth
opaedic Clinic|Richmond|VA|23235|1400 Johnston Willis Dr|Ste A|North Chesterfiel
d|VA|232354765|8043798088|8047946067|||2013-11-12T20:06:19.0Z|2014-11-14T05:00:0
0.0Z|New~Refill|BonSecoursTest|2013-11-14T22:23:31.0Z|U|New|v10_6|1225077548|122
5077548001||||||||||||||||37.51066|-77.59818|Y|AM
6114031951001|||||Oduntan|Olusola||MD||900 Rockmead Drive, S-274|Alliance Recrui
ting Resources|Kingwood|TX|77339|900 Rockmead Dr|# S-274|Kingwood|TX|773392115|7
066277816|8668997849|||2013-11-12T20:08:55.0Z|2014-11-14T05:00:00.0Z|New~Refill|
BonSecoursTest|2013-11-14T22:25:33.0Z|U|New|v10_6|1174592125|1174592125001||||||
||||||||||30.05251|-95.24178|Y|AM
et||Allen Park|MI|70000|8877665544|7766554433|my.mail@company.com||2013-11-14T09
:48:25.0Z|2014-02-14T09:48:21.0Z|New|AmericanChoice|2013-11-14T09:48:28.0Z|N|New
|v10_6|9948213488|9948213488001|||||||||||||||||||
6114243697001|||IM||Hobbs|Raymond||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2
25.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:44:31.0Z|U|N
ew|v10_6|1427165679|1427165679001||||||||||||||||42.36731|-83.08504|Y|AM
6114246419001||sampleStateLicenseNumber||sample|LastTest|FirstTest|sampleMiddleN
ame|ACNP|sampleClinicName|THT Street|sampleAddressLine2|Allen Park|MI|70000|Tht
Street||Allen Park|MI|70000|8877665544|7766554433|mail@mail.com|8877665544^WP~88
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T12:47:23.0Z|201
1|9948143061001|Doctor|sampleFileID|sampleMedicareNumber|sampleMedicaidNumber|sa
mpleDentistLicenseNumber|sampleUPIN|samplePPONumber|888888888|sampleAuthorizatio
n||||||||||AM
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T12:47:26.0Z|201
n||||||||||AM
6115918644001|||||Herre|John|M|MD||205 Business Park Dr., Ste. 200||Virginia Bea
ch|VA|23462|205 Business Park Dr|Ste 200|Virginia Beach|VA|234626335|7578895351|
Test|2013-11-14T22:33:12.0Z|U|New|v10_6|1609841394|1609841394001||||||||||||||||
36.84436|-76.1767|Y|AM
6117118888001|||||Popowitz|Richard||MD||408 Airport Executive Pk|Advanced Orthop
edics and Sports Med|Nanuet|NY|10954|408 Airport Executive Park||Nanuet|NY|10954
5288|8454250555|8454266126|||2013-11-12T20:29:09.0Z|2014-11-14T05:00:00.0Z|New~R
efill|BonSecoursTest|2013-11-14T23:08:09.0Z|U|New|v10_6|1649377466|1649377466001
||||||||||||||||41.10864|-74.02709|Y|AM
6120245720001|||||Brake|Barbara|L|MD||4010 e north st, suite one|brake chiroprac
tic, pa|greenville|SC|29615|4010 E North St|Ste 1|Greenville|SC|296156208|864292
2503|8642922504|||2013-11-12T20:32:45.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSe
coursTest|2013-11-14T23:35:03.0Z|U|New|v10_6|1568421444|1568421444001|||||||||||
|||||34.87601|-82.323|Y|
6120758605001|||||McLain|Clare||NP||Greenville Mental Health Center|124 Mallard
St|Greenville|SC|23601|124 Mallard St||Greenville|SC|296014046|8642411040|864241
013-11-14T23:26:36.0Z|N||v10_6|1891716825|1891716825001||||||||||||||||34.83971|
-82.41482|Y|
6120945673001|||D||Blanchard|Lawrence|III|||5421 Patterson Avenue|Dermatology As
sociates of Virginia|Richmond|VA|23226|5421 Patterson Ave||Richmond|VA|232262003
|8042852006|8042852799|||2013-10-11T19:42:29.0Z|2014-11-14T05:00:00.0Z|New~Refil
l|BonSecoursTest|2013-11-14T23:37:09.0Z|U|New|v10_6|1740280379|1740280379001||||
||||||||||||37.57712|-77.5116|Y|AM
6122046728001|||||Zconnected|PhysicianeRx|||HMC Hospital|845 Fishburn Rd||Hershe
y|PA|17033|845 Fishburn Rd||Hershey|PA|170332015|7175318181|7175318182|||2010-02
-17T02:11:58.0Z|2099-12-31T05:00:00.0Z|New~Refill~MedHistory|CernerMU2PreProd|20
13-11-14T17:38:18.0Z|U|New~Refill~MedHistory|v10_6mu2|1326002536|1326002536001||
||||||||||||||40.27025|-76.6503|Y|
6123708120001|||||Mainwaring|Davene|||QA61ACE|111 Gocart Lane||Chapel Hill|NC|27
5143244|111 Gocart Lane||Chapel Hill|NC|27514|9195551212|9195555555|davene.mainw
aring@allscripts.com||2013-11-14T19:14:12.0Z|2099-12-31T00:00:00.0Z|New~Refill|A
llScripts106|2013-11-14T19:14:13.0Z|N||v10_6mu2|1265409908|1265409908001||||||||
||||||||35.93651|-79.03753|N|
6123826466002|AB1020306|||DR.|RAI|RANJANA|||Mike's 11.2 Test Org|PAIN MGMT W/ EM

PHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||
2012-12-14T11:42:08.0Z|2096-11-14T17:05:58.0Z|New~MedHistory|MedPlusQA4|2013-1114T17:04:11.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6125040150001|||||Cohen|Daniel||MD||171 Ramapo Road||Garnerville|NY|10923|171 Ra
mapo Rd||Garnerville|NY|109231552|8459471772|8459474487|||2013-11-14T22:56:39.0Z
|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:56:39.0Z|N||v10_
6|1710074075|1710074075001||||||||||||||||41.20087|-73.98957|Y|AM
6125156284001|||||Brooks|Jennifer|M|CRNA||Commonwealth Anesthesia Associates|137
00 St. Francis Blvd|Midlothian|VA|23114|13700 St Francis Blvd||Midlothian|VA|231
143222|8045942622|8045940915|||2013-11-14T23:32:31.0Z|2014-11-14T05:00:00.0Z|New
~Refill|BonSecoursTest|2013-11-14T23:32:31.0Z|N||v10_6|1952305633|1952305633001|
|||||||||||||||37.46622|-77.65855|Y|
6125865819001|||||Rafferty|Brian||PA||Good Samaritan Hospital|255 Lafayette Ave|
Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685029|8455653395||
|2013-11-14T23:25:41.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11
-14T23:25:41.0Z|N||v10_6|1790963478|1790963478001||||||||||||||||41.11199|-74.13
325|Y|
6126035430001|||||Shaffer|Dick|M|||908 Hillsdale||RICHARDSON|TX|75081|908 Hillsd
ale Dr||Richardson|TX|750815232|9723450967|9733450968|||2013-11-11T22:01:59.0Z|2
099-12-31T00:00:00.0Z|New|iMedicaTest106|2013-11-14T23:46:31.0Z|U|New~MedHistory
|v10_6mu2|1234567893|1234567893001|Resident|||||||||||||||32.93736|-96.70905|Y|
6126064586001|||OM||Brissenden|Reynolds|B|MD|PREVEA HEALTH|2502 S Ashland||Green
Bay|WI|54304|2502 S Ashland Ave||Green Bay|WI|543045252|9204964700|9204291703||
|2013-08-25T13:52:29.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T
20:02:18.0Z|U|New|v10_6|1649421108|1649421108001||||||||||||||||44.48008|-88.060
48|Y|AM
6126560130001|||||Sharma|Devendra||MD||66 Ramapo Road||Garnerville|NY|10923|66 R
amapo Rd||Garnerville|NY|109231718|8459472232|8459471339|||2013-11-14T23:11:19.0
_6|1811061211|1811061211001||||||||||||||||41.20127|-73.99798|Y|AM
6127037763002|||GP||Aquilo|Melissa||||5801 Bremo Road - Hospitalists||Richmond,|
VA|23226|5801 Bremo Rd||Richmond|VA|232261907|8045599900|8045596530|||2013-11-14
4.0Z|N||v10_6|1134150709|1134150709002||||||||||||||||37.5843|-77.51269|Y|AM
6128092361001|||PD||Stefan|Natalie|Nazark|MD||5500 Auto Club Drive||Dearborn|MI|
48126|5500 Auto Club Dr||Dearborn|MI|481262779|3134254700|3134254701|||2012-10-1
1T18:08:56.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:39:1
4.0Z|U|New|v10_6|1396892105|1396892105001||||||||||||||||42.32778|-83.22224|Y|AM
6128501585002|||PD||Golombek|Sergio||MD||95 Grassland Road|Maria Fareri Children
s Hospital|Valhalla|NY|10595|95 Grasslands Rd||Valhalla|NY|105951652|9144938558|
Test|2013-11-14T22:59:43.0Z|U|New|v10_6|1770585432|1770585432002||||||||||||||||
41.07012|-73.78712|Y|AM
6128777789002|||GE||Comerford|Lawrence|W|||25 COURTENAY DRIVE, #7100A|MUSC- DEPA
RTMENT OF MEDICINE|Charleston|SC|29425|25 Courtenay Dr|# 7100A|Charleston|SC|294
258911|8438764262|8438760372|||2013-11-12T20:33:52.0Z|2014-11-14T05:00:00.0Z|New
~Refill|BonSecoursTest|2013-11-14T23:37:38.0Z|U|New|v10_6|1982646519|19826465190
02||||||||||||||||32.78348|-79.95095|Y|AM
6128892026001|DE7733433|ML0754390|IM||Intile|Dan|A.||Kryptiq|10344 SW 66th Ave|S
uite 100|Portland|OR|97202|10344 SW 66th Ave||Portland|OR|97202|5032331188|50323
31189|||2009-07-17T17:55:32.0Z|2099-12-31T08:00:00.0Z|New~Refill|KryptiqQA|201311-14T21:45:15.0Z|U|New~Refill~MedHistory|v4_20|1212345145|1212345145001||||||||
||||||||45.4948|-122.63597|N|AM
6129754110001|||||Coleman|Martin|R|MD||250 NAT TURNER BLVD||NEWPORT NEWS|VA|2360
6|250 Nat Turner Blvd S||Newport News|VA|236062899|7575961900|7575918560|||201311-14T22:29:28.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22
:29:28.0Z|N||v10_6|1114089935|1114089935001||||||||||||||||37.08584|-76.48734|Y|
AM
6130059192001|||||Panneton|Jean|M|MD||397 Little Neck Road, Suite 120||Virginia
Beach|VA|23452|397 Little Neck Rd|Ste 120|Virginia Beach|VA|234525774|7574705570

|7579619359|||2013-11-12T20:17:35.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecour
sTest|2013-11-14T22:39:34.0Z|U|New|v10_6|1003887449|1003887449001|||||||||||||||
|36.84283|-76.09177|Y|AM
6130770491002|||N||Coleman|C||||2800 Godwin Blvd|Ste 325|Suffolk|VA|23434|2800 G
odwin Blvd|Ste 325|Suffolk|VA|234348038|7579344450|7579344278|||2013-11-14T23:47
||v10_6|1326061136|1326061136002||||||||||||||||36.77377|-76.57856|Y|AM
6131323647001||345678|||TestLastName|Testy|Testerson||Test Clinic Name|123 Somew
here Ln.|Suite 27|Sandy|UT|84094|123 Somewhere Ln.||Sandy|UT|84094|8015555555|80
15555556|test@advancedmd.com||2013-11-14T22:12:11.0Z|2099-12-31T00:00:00.0Z|New|
AdvancedMDTest|2013-11-14T22:12:11.0Z|N||v10_6|2169696699|2169696699001|PA||||||
|||||||||40.57671|-111.86159|N|
6131323647002||345678|||TestLastName|Testy|Testerson||Test Clinic Name|456 Main
St|Floor 4|Sandy|UT|84094|456 Main St||Sandy|UT|84094|8015555555|8015555556|test
@advancedmd.com||2013-11-14T22:12:12.0Z|2099-12-31T00:00:00.0Z|New|AdvancedMDTes
t|2013-11-14T22:12:12.0Z|N||v10_6|2169696699|2169696699002|PA|||||||||||||||40.5
7671|-111.86159|N|
6131509575002|||R||DITZENBERGER|JOHN||||695 Dutchess Turnpike #105||Poughkeepsie
|NY|12603|695 Dutchess Tpke|Ste 105|Poughkeepsie|NY|126036443|8886475979|8888470
13-11-14T22:57:28.0Z|N||v10_6|1508872649|1508872649002||||||||||||||||41.6988|-7
3.88263|Y|AM
6132037675001|||IM||Sobhanimahdabi|Aref||MD||1621 N TAYLOR DRIVE||SHEBOYGAN|WI|5
3081|1621 N Taylor Dr||Sheboygan|WI|530811990|9204964700|9204517332|||2013-08-25
T13:53:10.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:02:23.0Z
|U|New|v10_6|1164610820|1164610820001||||||||||||||||43.76288|-87.74884|Y|AM
6132308654002|||||SCHWARTZ|JERROLD||||11 North Airmont Road||Suffern|NY|10901|11
N Airmont Rd||Suffern|NY|109015103|8453571120|8453543305|||2013-11-14T23:10:34.
0_6|1215977806|1215977806002||||||||||||||||41.11376|-74.11311|Y|
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-14T08:03:14.0Z|201
n||||||||||
6135531997881||||sample|LastTest|FirstTest|sampleMiddleName|ACNP||THT Street||Al
len Park|MI|70000|Tht Street||Allen Park|MI|70000|8877665544|7766554433|||2013-0
8-14T08:03:15.0Z|2013-11-14T01:02:15.0Z|New|AmericanChoice|2013-08-14T08:03:15.0
Z|D||v10_6|9902157350|9902157350881|||||||||||||||||||
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-15T05:01:37.0Z|201
n||||||||||
6135531997883||||sample|LastTest|FirstTest|sampleMiddleName|ACNP||THT Street||Al
len Park|MI|70000|Tht Street||Allen Park|MI|70000|8877665544|7766554433|||2013-0
8-15T05:01:39.0Z|2013-11-14T22:00:00.0Z|New|AmericanChoice|2013-08-15T05:01:39.0
Z|D||v10_6|9900003633|9900003633883|||||||||||||||||||
399773001|||||||||||||||||||
6140011753001|||OPH||Turner|Tina||MD||15401 East Jefferson Ave.||GROSSE POINTE P
ARK|MI|48230|15401 E Jefferson Ave||Grosse Pointe Park|MI|482301328|3138244800|2

488247080|||2012-10-11T18:13:55.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTe
st|2013-11-14T19:43:51.0Z|U|New|v10_6|1649330051|1649330051001||||||||||||||||42
.37706|-82.93436|Y|AM
6140792501001|||||Manuelli|Bianca||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1730455445|1730455445001||||||||||||||||32.81096|-96.83699|Y|
6141202351001|BA5105893||IM||AL-DABAGH|AHMAD|||Hurley Medical Center|5084 Villa
Linde Pkwy.|Suite 5|Flint|MI|48532||||||8107338105|8107338135|||2012-11-27T16:38
:42.0Z|2013-11-14T05:00:00.0Z|New|HurleyTest4.2|2012-11-27T16:38:42.0Z|D|New|v4_
20|1104858794|1104858794001|||||||||||||||||||AM
6142804593011|||FP||Chueh|Henry|||MGH Cardiology|50 Fruit St.||Boston|MA|02114|5
0 Fruit St||Boston|MA|021142620|6177265544|6177266899|HCCHUEH@PARTNERS.ORG||2012
-05-09T19:43:06.0Z|2023-10-09T04:00:00.0Z|New|MassGenlHospital|2013-11-14T21:30:
06.0Z|U|New~Refill|v10_6|1992796353|1992796353011||||||||||||||||42.36241|-71.06
969|Y|AM
6143300039004|AS1010177||||DR|DEEPTHI|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPHAS
IS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||2012
-10-03T13:22:08.0Z|2096-11-14T17:05:38.0Z|New~Refill~Change~MedHistory|MedPlusQA
4|2013-11-14T17:03:50.0Z|U|New~Refill~Change~MedHistory|v4_20|1265756670|1265756
670004|||||||||||||||||||
6144226258001|||||Weissman|Evan||DO||4C Medical Park Drive||Pomona|NY|10970|4 Me
dical Park Dr|# C|Pomona|NY|109703516|8453620202|8453621347|||2013-11-14T23:14:1
v10_6|1033209804|1033209804001||||||||||||||||41.16712|-74.0338|Y|AM
6145322742002|||||KURTZ|LINDA||||100 ROUTE 59||Suffern|NY|10901|100 Route 59||Su
ffern|NY|109014927|8453570340|8453570428|||2013-11-14T23:03:40.0Z|2014-11-14T05:
55418240002||||||||||||||||41.11318|-74.12599|Y|
6146733392001|KS9876543|5730981549||Dr.|Maximumprescribersuperlonglastnameh|John
maximumprescriberwithalongnamef|Patrickmaximumprescriberm|DO|106Docs|1004 CAROND
ELET DRIVE THAT IS SUPER|STE 430 AND UPSTAIRS AROUND THE COR|Kansas City super f
antasticlon|MO|64114|106Docs||Kansas City|MO|64114|8165554323x19375|8162369865|k
ylie.schleicher@prescribersconnection.com||2012-08-22T09:00:08.0Z|2099-12-31T00:
00:00.0Z|New~Refill|PrescriberConnTest106|2013-11-14T00:21:59.0Z|U|New~Refill|v1
0_6|1801960992|1801960992001||||||||||||||||38.96281|-94.59417|N|
6147391200001|DE4564567|ML1062937|IM||Starr|Kelly|G.||GE31|10288 SW 43rd Ave|Sui
te 400|Portland|OR|97202|10288 SE 43rd Ave||Portland|OR|972225875|5032332233|503
2332234|bbergeron@west.com||2013-10-28T05:56:53.0Z|2099-12-31T08:00:00.0Z|New~Re
fill|KryptiqQA|2013-11-14T06:19:28.0Z|U|New|v4_20|4573457646|4573457646001||||||
||||||||||45.44868|-122.61745|Y|AM
6147391200002|DE4564567|ML1062937|IM||Starr|Kelly|G.||GE31|345 NE McKenzie Drive
||Gresham|OR|97030|345 NE McKenzie Drive||Gresham|OR|97030|5036657459|5036657458
|jhall@east.com||2013-11-14T06:10:47.0Z|2013-11-14T06:19:06.0Z||KryptiqQA|2013-1
1-14T06:19:06.0Z|D|New|v4_20|4573457646|4573457646002||||||||||||||||45.50716|-1
22.4328|N|AM
6147896933001|||||Bersson|Robert||DDS||2 Cloverdale Lane||Monsey|NY|10952|2 Clov
erdale Ln||Monsey|NY|109522401|8453561671|8455781878|||2013-11-14T22:55:14.0Z|20
14-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:55:15.0Z|N||v10_6|1
043239098|1043239098001||||||||||||||||41.12047|-74.07741|Y|
6147949831001|||||Euwer|Rebecca|L.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1437225703|1437225703001||||||||||||||||32.81096|-96.83699|Y|
6148419545002|||||King|Gregory|Paul|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13T15:
04:36.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:11:16.0Z|U|New
|v10_6|1245421106|1245421106002||||||||||||||||32.81096|-96.83699|Y|
6148830568002|||||Belcher|Melinda||PA-C||7858 Shrader Rd||Richmond|VA|23294|7858
Shrader Rd||Richmond|VA|232944222|8042701305|8042701305|||2013-11-14T23:26:55.0
_6|1881668044|1881668044002||||||||||||||||37.62635|-77.5264|Y|
6149446960001|||ID||Ramesh|Mayur||MD||2799 West Grand Blvd.||DETROIT|MI|48202|27
w|v10_6|1043275167|1043275167001||||||||||||||||42.36731|-83.08504|Y|AM
6150387382001|||||Johnson|Glyssenia|||Eye Clinic Center|Randon Lane||San Diego|C
A|25842|Randon Lane||San Diego|CA|25842|6197845245|6197845246|||2013-11-14T05:37
:01.0Z|2033-11-13T21:31:02.0Z|New~Change~Cancel~CIMessage~CIEvent|MedicalOfficeS
olutions10.6|2013-11-14T05:37:01.0Z|N||v10_6mu2|2874569540|2874569540001|Doctor|
||||||||||glyssenia@adaptamed.direct-ci-cert.com||CI EDI|24439||||NU
6150592874001|||||Davis|William||MD||327 Route 59|Suite 2|Airmont|NY|10952|327 R
oute 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T22:57:04.0
_6|1063416501|1063416501001||||||||||||||||41.11002|-74.09595|Y|AM
6151357137001|||PD||McKeough-Nemes|Margaret||DO||6530 Farmington Road||West Bloo
mfield|MI|48322|6530 Farmington Rd||West Bloomfield|MI|483223216|2486618230|2486
615300|||2012-10-11T18:10:14.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|
2013-11-14T19:40:04.0Z|U|New|v10_6|1740492016|1740492016001||||||||||||||||42.54
19|-83.38104|Y|AM
6151869503001|||||Kalafsky|John|T|MD||901 Hampton Blvd||Norfolk|VA|23507|901 Ham
pton Blvd||Norfolk|VA|235071503|7576230526|7576276471|||2013-11-12T20:14:49.0Z|2
014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:34:40.0Z|U|New|v10
_6|1700887239|1700887239001||||||||||||||||36.86476|-76.30236|Y|AM
6152022698001|||||Reed|James|T|CRNA||13710 St Francis Boulevard||Midlothian|VA|2
3114|13710 St Francis Blvd||Midlothian|VA|231143267|8045942622|8045940915|||2013
3:33:25.0Z|N||v10_6|1578609699|1578609699001||||||||||||||||37.46687|-77.65876|Y
|
6152245250009|AB6543210||||SHAH|NEHA|||iCare360 Org|2200 TEST DR||MASON|OH|45040
||||||5132202200|5133303300|||2013-11-14T16:08:19.0Z|2096-11-14T16:10:07.0Z|New~
MedHistory|MedPlusQA4|2013-11-14T16:08:19.0Z|N||v4_20|||||||||||||||||||||
6152428507002|||END||Dizon|Anamarie|U|||1168 First Colonial Rd|Endocrinology Con
sultants, Ste 300|Virginia Beach|VA|23454|1168 First Colonial Rd||Virginia Beach
|VA|234542444|7574969020|7574810638|||2013-10-17T16:02:33.0Z|2014-11-14T05:00:00
.0Z|New~Refill|BonSecoursTest|2013-11-14T23:49:47.0Z|U|New|v10_6|1245280114|1245
280114002||||||||||||||||36.86881|-76.02963|Y|AM
369321001|||||||||||||||||||
6152585033001|||||Verdiner|Ricardo||MD||255 Lafayette Avenue|Good Samaritan Hosp
ital|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|8453685
13-11-14T23:13:53.0Z|U|New|v10_6|1003870221|1003870221001||||||||||||||||41.1119
9|-74.13325|Y|AM
6152615731001|||||Brown|Cecil|Yates|PA||ST. FRANCIS HOSPITAL|1 ST. FRANCIS DRIVE
|GREENVILLE|SC|29601|1 Saint Francis Dr||Greenville|SC|296013955|8648335986|8648
|2013-11-14T23:19:24.0Z|U|New|v10_6|1598862179|1598862179001||||||||||||||||34.8
4033|-82.4217|Y|
6153159879001|||||Garbus|Gary||DPM||20 South Main Street||Spring Valley|NY|10977
|20 S Main St||Spring Valley|NY|109774913|8453561534|8453563970|||2013-11-14T22:
|N||v10_6|1093810756|1093810756001||||||||||||||||41.11054|-74.04428|Y|
6153304756001|||US||Bowles|Alvin||MD||2799 West Grand Blvd.||DETROIT|MI|48202|27
w|v10_6|1972671402|1972671402001||||||||||||||||42.36731|-83.08504|Y|AM
6154319060001|||||Cohen|Bradley||MD||500C NEW HEMPSTEAD RD||NEW CITY|NY|10956|50

0 New Hempstead Rd|Ste C|New City|NY|109561143|8453621750|8453621577|||2013-11-1
36.0Z|N||v10_6|1801839113|1801839113001||||||||||||||||41.14964|-74.03305|Y|AM
6154688694001|||||Zhuravleva|Karina||MD||40 Robert Pitt Drive||Monsey|NY|10952|4
0 Robert Pitt Dr||Monsey|NY|109523333|8453526800|8453527292|||2013-11-14T23:15:0
v10_6|1740384866|1740384866001||||||||||||||||41.11138|-74.06391|Y|AM
6154749645001|||||Appel|Arthur||MD||119 Franklin Avenue||Pearl River|NY|10965|11
9 Franklin Ave||Pearl River|NY|109652510|8457354100|8457354473|||2013-11-14T22:5
N||v10_6|1558355107|1558355107001||||||||||||||||41.05884|-74.0164|Y|AM
6155451639002|||IM||Young|Stephen||MD||348 Brown's Hill Court|Virginia Diabetes
& Endocrinology|Midlothian|VA|23113|348 Brown's Hill Court||Midlothian|VA|23113|
8042722702|8042729355|||2013-11-12T20:01:16.0Z|2014-11-14T05:00:00.0Z|New~Refill
|BonSecoursTest|2013-11-14T22:22:04.0Z|U|New|v10_6|1609849637|1609849637002|||||
|||||||||||37.51998|-77.64584|N|AM
6155827317002|||FP||Hickman|Rodney||PA|MEMORIAL MEDICAL CENTER|216 SUNSET PLACE|
|NEILLSVILLE|WI|54456|216 Sunset Pl||Neillsville|WI|544561706|7157433101|7157436
242|||2013-09-16T15:19:54.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2013-11-14T20
:02:42.0Z|U|New|v10_6|1316044399|1316044399002||||||||||||||||44.55651|-90.60678
|Y|AM
6155972000001|||||Routing-Maxtessssssttttttt|Providermaxxxxxx||||123 Maaaaaaaiii
iiiiinnnnnnnnnnnnnnn|Suite 11111111111111111111111111111|Salt Lake City|UT|84130
|123 Maaaaaaaiiiiiiiinnnnnnnnnnnnnnn||Salt Lake City|UT|84130|8014425000|8074425
001|||2013-11-14T21:46:35.0Z|2099-12-31T00:00:00.0Z|New~Refill|IntermountainTest
|2013-11-14T21:46:35.0Z|N||v10_6|2517883452|2517883452001||||||||||||||||40.7259
3|-111.93922|N|
|||||||||40.57671|-111.86159|N|
t|2013-11-14T21:54:25.0Z|N||v10_6|5386165216|5386165216002|PA|||||||||||||||40.5
7671|-111.86159|N|
6157471155001|||OBG||Altairy|Fadia||MD||6100 Haggerty Road||Canton|MI|48187|6100
N Haggerty Rd||Canton|MI|481873683|7349813200|7349811234|||2013-07-25T15:22:34.
v10_6|1407067416|1407067416001||||||||||||||||42.32727|-83.4471|Y|AM
6157595441001|AD1824374||||KANG|MEI-LIN|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPH
ASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||20
13-09-17T17:58:34.0Z|2096-11-14T17:05:42.0Z|New~MedHistory|MedPlusQA4|2013-11-14
T17:03:54.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6157638225001|||||Potenza|Matthew||MD||2 Crosfield Avenue|Suite 204|West Nyack|N
05|Y|AM
6158514144005|||DR||CLEMENTS-NORTHLAND|LYNN||||695 Dutchess Turnpike #105||Pough
keepsie|NY|12603|695 Dutchess Tpke|Ste 105|Poughkeepsie|NY|126036443|8886475979|
Test|2013-11-14T22:56:31.0Z|N||v10_6|1588766414|1588766414005||||||||||||||||41.
6988|-73.88263|Y|AM
6158754815001|||||Hester|Ryan||MD||361 Southport Circle,|Suite 100|Virginia Beac
h|VA|23452|361 Southport Cir|Ste 100|Virginia Beach|VA|234521193|7575479714|7575
|2013-11-14T22:33:17.0Z|N||v10_6|1053466631|1053466631001||||||||||||||||36.8310
1|-76.12988|Y|AM
6159932014001|||||Smith|Christy|R|NP||317 ST FRANCIS DRIVE|Suite 340, UPSTATE ON
COLOGY ASSOCIA|Greenville|SC|29601|317 Saint Francis Dr|Ste 340|Greenville|SC|29
6013914|8645463699|8645463680|||2013-11-14T23:34:28.0Z|2014-11-14T05:00:00.0Z|Ne
w~Refill|BonSecoursTest|2013-11-14T23:34:28.0Z|N||v10_6|1669712931|1669712931001
||||||||||||||||34.83995|-82.42035|Y|
6161005726001|||||Fiorillo|Michael||MD||150 South Pearl Street||Pearl River|NY|1
0965|150 S Pearl St||Pearl River|NY|109652253|8456236141|8456231998|||2013-11-14
7.0Z|N||v10_6|1275520991|1275520991001||||||||||||||||41.05364|-74.02429|Y|AM
6161835950001|||||Berson|Shelley||MD||2 Strawtown Road||West Nyack|NY|10994|2 St
rawtown Rd||West Nyack|NY|109941847|8457271340|8457271349|||2013-11-14T22:55:11.
0_6|1003830886|1003830886001||||||||||||||||41.09447|-73.97196|Y|AM
227479001|||||||||||||||||||
227479002|||||||||||||||||||
6162181211001|||CD||Rubin|Leo||MD||4 South Airmont Road||Suffern|NY|10901|4 S Ai
rmont Rd||Suffern|NY|109016511|8453573366|8453572899|||2013-10-30T20:07:29.0Z|20
14-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:09:50.0Z|U|New|v10_
6|1043298714|1043298714001||||||||||||||||41.11091|-74.11337|Y|AM
6165396915001|||||Meyer|Jerome||MD||20 Squadron Boulevard||New City|NY|10956|20
Squadron Blvd||New City|NY|109565200|8456395060|8456396099|||2013-11-14T23:06:13
.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:06:13.0Z|N||v
10_6|1255485330|1255485330001||||||||||||||||41.15818|-73.9828|Y|AM
6165419451001|||NEP||Faber|Mark||MD||2799 West Grand Blvd.||DETROIT|MI|48202|279
|v10_6|1306914841|1306914841001||||||||||||||||42.36731|-83.08504|Y|AM
6166844079002|||||Adleberg|Jon|M|MD||516 Innovation Drive, Suite 101|Hampton Roa
ds Retina Center, PC|Chesapeake|VA|23320|516 Innovation Dr|Ste 101|Chesapeake|VA
|233203866|7574360011|7574360075|||2013-11-12T20:09:31.0Z|2014-11-14T05:00:00.0Z
|New~Refill|BonSecoursTest|2013-11-14T22:26:19.0Z|U|New|v10_6|1710981246|1710981
246002||||||||||||||||36.73555|-76.21996|Y|AM
6167120024001|||||Husain|Tarik|M.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
:06.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:12:49.0Z|U|New|v
10_6|1578649646|1578649646001||||||||||||||||32.81096|-96.83699|Y|
6167379661003|||||GIELLA|JOHN||||6A MEDICAL PARK DR||POMONA|NY|10970|6 Medical P
ark Dr|Ste A|Pomona|NY|109703509|8453545000|8453549469|||2013-11-14T22:59:13.0Z|
|1912982372|1912982372003||||||||||||||||41.16792|-74.03309|Y|
6168708017001|||||Ahmed|Hesham||MD||11770 Haynes Bridge Road|LocumTenenes|Allpha
retta|GA|30009|11770 Haynes Bridge Rd||Alpharetta|GA|300091966|2027237268|770643
013-11-14T22:25:26.0Z|U|New|v10_6|1104015056|1104015056001||||||||||||||||34.069
38|-84.29382|Y|AM
6169298034001|||||Barber|Diana||PA-C|iSALUS Medicine and Wellness|2399 Route 34
Bldg A5||Manasquan|NJ|08736|2399 Highway 34|Bldg A5|Manasquan|NJ|087361500|73255
56666|7325557777|||2013-10-14T17:38:00.0Z|2063-10-14T18:32:23.0Z|New~Refill|MOST
Test106|2013-11-14T23:00:15.0Z|U|New|v10_6mu2|1700913100|1700913100001|PA|||||||
||||||||40.12565|-74.08384|Y|
6170339670001|||||Bernstein|William||MD||100 PHILLIPS HILL ROAD||New City|NY|109
56|100 Phillips Hill Rd||New City|NY|109564134|8456348911|8456349002|||2013-11-1
09.0Z|N||v10_6|1265542047|1265542047001||||||||||||||||41.16503|-73.99609|Y|AM
6171049466001|||||Medici|Mark||MD||2 Crosfield Avenue|Suite 422|West Nyack|NY|10
3:06:02.0Z|N||v10_6|1750437828|1750437828001||||||||||||||||41.09306|-73.97705|Y
|AM
6171360004001|||OBG||Smietana|Stefan|H.|DO||3031 West Grand Blvd.||DETROIT|MI|48
202|3031 W Grand Blvd||Detroit|MI|482023044|3139162454|3139162984|||2012-10-11T1
8:09:26.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:39:35.0
Z|U|New|v10_6|1609943075|1609943075001||||||||||||||||42.36992|-83.07618|Y|AM
6171835138012|||||Kumar|Vijay|||Family Practice Clinic|1324 Park Lane||Brimingha
m|AL|35223|1324 Park Ave||Birmingham|AL|352173123|2051234567|3456464645|vijay.ku
mar@allscripts.com||2013-11-14T11:40:32.0Z|2099-12-31T00:00:00.0Z|New~Refill|PSA
llScriptsTest_4x|2013-11-14T11:40:32.0Z|N||v4_20|1811039308|1811039308012|||||||
|||||||||33.57566|-86.7744|Y|
6171835138013|||||Kumar|Vijay|||Family Practice Clinic|1324 Park Lane||Brimingha
m|AL|35223|1324 Park Ave||Birmingham|AL|352173123|2051234567|3456464645|vijay.ku
mar@allscripts.com||2013-11-14T11:40:36.0Z|2099-12-31T00:00:00.0Z|New~MedHistory
~Eligibility|Allscripts4.0Test|2013-11-14T11:40:36.0Z|N||v4_0|1811039308|1811039
308013||||||||||||||||33.57566|-86.7744|Y|
6172457049001|||||Dresner|Alan||MD||2 Crosfield Avenue|Suite 204|West Nyack|NY|1
3-11-14T22:57:35.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T
22:57:35.0Z|N||v10_6|1316911654|1316911654001||||||||||||||||41.09306|-73.97705|
Y|AM
15555556|test@advancedmd.com||2013-11-14T21:50:11.0Z|2013-11-14T21:50:13.0Z||Adv
ancedMDTest|2013-11-14T21:50:13.0Z|D|New|v10_6|1040859286|1040859286001|PA||||||
|||||||||40.57671|-111.86159|N|
6173519854002|||NS||Kalanithi|Suman|A|MD||1768 Business Center Dri|Specialists O
n Call, Suite 100|Reston|VA|20190|1768 Business Center Dr||Reston|VA|201905324|8
664839690|8558116296|||2013-11-12T20:25:12.0Z|2014-11-14T05:00:00.0Z|New~Refill|
||||||||||38.94958|-77.32719|Y|AM
6174084403001|||||Frenkel|Eugene|P.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1619946100|1619946100001||||||||||||||||32.81096|-96.83699|Y|
6174093867001|||||Kagan|Harvey|J|MD||885 Kempsville Road Suite 200|Pediatric Spe
cialists Inc.|Norfolk|VA|23502|885 Kempsville Rd|Ste 200|Norfolk|VA|235023800|75
74616342|7579636158|||2013-11-12T20:14:44.0Z|2014-11-14T05:00:00.0Z|New~Refill|B
onSecoursTest|2013-11-14T22:34:34.0Z|U|New|v10_6|1689623902|1689623902001|||||||
|||||||||36.85311|-76.194|Y|AM
6174113301001|DF3214594||||Finger|Doctor|||Anchor Hospital|5454 Yorktowne Drive|
|Atlanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|7702581414|6785225
151|||2013-11-14T18:14:30.0Z|2099-12-31T12:00:00.0Z|New~Refill|GreenwayTest106|2
013-11-14T18:14:30.0Z|N||v10_6|1234567893|1234567893001||||||||||||||||33.60634|
-84.45192|Y|
6174403389001|||||Green|Harold|T Jr.|MD||2421 Chamberlayne Ave||Richmond|VA|2322
3|2421 Chamberlayne Ave||Richmond|VA|232224205|8043298510|8043292160|||2013-11-1
24.0Z|N||v10_6|1427169044|1427169044001||||||||||||||||37.56526|-77.44354|Y|AM
069140001|||||||||||||||||||
069140002|||||||||||||||||||
6176808312001|||||Mtest|Marym|||Test Clinic|9420 Key West Avenue, Suite 230||Roc
kville|MD|20850|9420 Key West Ave|Ste 230|Rockville|MD|208506282|3012319510|3012
319512|||2013-08-08T21:27:21.0Z|2013-11-14T16:04:42.0Z||DrFirstREST|2013-11-14T1
6:04:42.0Z|D|CIMessage~CIEvent|v10_6|1908856747|1908856747001||||||||||||marym@d
rfirst.direct-ci-cert.com||||39.10419|-77.19307|Y|
6177066183002|||||Cook|Allyson||||Dermatology Associates, P.A|317 Tanner Road|Gr
eenville|SC|29607|317 Tanner Rd||Greenville|SC|296075923|8646278911|8646278294||
-14T23:30:10.0Z|N||v10_6|1013965094|1013965094002||||||||||||||||34.81407|-82.27
266|Y|
6177231787001|||||Cook|Maureen|J|NP||Southeastern Neurosurgical|111 Doctors Driv
e|Greenville|SC|29605|111 Doctors Dr||Greenville|SC|296055622|8647977150|8647977
13-11-14T23:26:58.0Z|N||v10_6|1558519835|1558519835001||||||||||||||||34.81466|82.41089|Y|
6178508209001|||OS||Miller|Kim|L|NP||1200 N STATE HIGHWAY 121||MT ZION|IL|62549|
1200 N State Highway 121||Mt Zion|IL|625491224|2177287353|2177282580|||2013-08-2
5T13:40:23.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:02:59.0
Z|U|New|v10_6|1285638262|1285638262001||||||||||||||||39.7839|-88.87001|Y|AM
4T09:48:22.0Z||AmericanChoice|2013-11-14T09:48:22.0Z|D|New|v10_6|9948155275|9948
155275001|||||||||||||||||||
6179434918001|||||Fithian|Thomas|E|MD||730 Thimble Shoals Boulevard|HROSM, Suite
130|Newport News|VA|23606|730 Thimble Shoals Blvd||Newport News|VA|236064562|75
78731554|7572239564|||2013-11-12T20:12:47.0Z|2014-11-14T05:00:00.0Z|New~Refill|B
|||||||||37.08348|-76.46897|Y|AM
6179958726002|||FP||Pandrangi|Lakshmi||MD||2547 E. Jefferson Ave.||St. Clair Sho
res|MI|48080|2547 E Jefferson Ave||Saint Clair Shores|MI|48080|5867747800|586771
0703|||2012-10-11T18:14:18.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|20
13-11-14T19:44:24.0Z|U|New|v10_6|1043384555|1043384555002||||||||||||||||42.4642
7|-82.89862|N|AM
6179959021001|||END||Bhan|Arti||MD||39450 West 12 Mile Road||Novi|MI|48377|39450
W 12 Mile Rd||Novi|MI|483773600|2486617920|2483442479|||2013-02-27T22:38:05.0Z|
2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:44:06.0Z|U|New|v10
_6|1346318870|1346318870001||||||||||||||||42.49805|-83.43774|Y|AM
6180078407001|||||Finn|Richard|A.|DDS||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1992763643|1992763643001||||||||||||||||32.81096|-96.83699|Y|
6180302625002|||GP||Eidlin|Martin||||3432 HOLLAND RD||VA BEACH|VA|23452|3432 Hol
land Rd||Virginia Beach|VA|234524846|7574681855|7574684441|||2013-11-14T23:50:38
10_6|1336104728|1336104728002||||||||||||||||36.80828|-76.09119|Y|AM
6181251550002|||IM||Patel|Apurva|M|MD||1030 Hillpoint Blvd Nort|CARDIOLOGY ASSOC
IATES HILLPOI|Suffolk|VA|23434|1030 Hillpoint Blvd N||Suffolk|VA|234348470|75753
||||||36.78518|-76.58443|Y|AM
6182464944002|||CD||Aboulatta|Hussein|M|MD||100 Emancipation Drive|Hampton VA Me
dical Center|Hampton|VA|23667|100 Emancipation Dr||Hampton|VA|236670001|75772299
ursTest|2013-11-14T22:26:16.0Z|U|New|v10_6|1093772022|1093772022002|||||||||||||
|||37.01867|-76.33062|Y|AM
6183231888001|||||Slifkin|Michelle||MD||2 Crosfield Avenue|Suite 102|West Nyack|
NY|10994|2 Crosfield Ave|Ste 102|West Nyack|NY|109942233|8453581344|8453588073||
-14T23:12:10.0Z|N||v10_6|1538142153|1538142153001||||||||||||||||41.09306|-73.97
705|Y|AM
6184307752001|||IM||Jatoi|Naeemuddin||MD||1750 E LAKE SHORE DRIVE SUITE 100||DEC
AUTER|IL|62521|1750 E Lake Shore Dr|Ste 100|Decatur|IL|625213803|2174752880|2174
3-11-14T20:03:06.0Z|U|New|v10_6|1922070333|1922070333001||||||||||||||||39.82644
|-88.93306|Y|AM
6185711796001|||||Bernstein|Ira||DPM||175 Route 304||Bardonia|NY|10954|175 Route
304||Bardonia|NY|109542042|8453574433|8453570518|||2013-11-14T22:55:04.0Z|201411-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:55:04.0Z|N||v10_6|1629
008271|1629008271001||||||||||||||||41.10442|-73.99756|Y|
6185741744001|||||Berkowitz|Jessica||MD||255 Lafayette Avenue|Good Samaritan Hos
pital|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685196|845368
013-11-14T22:54:59.0Z|U|New|v10_6|1912908732|1912908732001||||||||||||||||41.111
99|-74.13325|Y|AM
6188216629001|||||Hendi|Justin||DMD||84 Route 59||Suffern|NY|10901|84 Route 59||
Suffern|NY|109014910|8453572070|8453572144|||2013-11-14T23:01:09.0Z|2014-11-14T0
1962670349001||||||||||||||||41.11318|-74.12733|Y|
6189089100002|||||Pahnke|Lynette||||Cornerstone Family Medicine|206-A South Main
Street|Greer|SC|29650|206A S Main St||Greer|SC|296502127|8649890230|8643341880|
1-14T23:26:23.0Z|N||v10_6|1740493519|1740493519002||||||||||||||||34.93538|-82.2
3066|Y|
6189962551001|||||Leung|Liza||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 Ha
|1174787154|1174787154001||||||||||||||||32.81096|-96.83699|Y|
6191137590001|||OS||Johnson|Dana||NP||340 W LINCOLN STREET SUITE 400||BELLEVILLE
|WI|62220|340 W Lincoln St|Ste 400|Belleville|IL|622201900|6182336044|6182333287
|||2013-08-25T13:39:55.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-1
4T20:03:18.0Z|U|New|v10_6|1225295967|1225295967001||||||||||||||||38.51159|-89.9
889|Y|AM
6193448300001|||US||Nazneen|Waheeda||MD||24555 Haig Road||TAYLOR|MI|48180|24555
Haig St||Taylor|MI|481803322|2486616475|3133752140|||2012-10-11T18:15:13.0Z|2014
-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:45:36.0Z|U|New|v10_6|1
124237532|1124237532001||||||||||||||||42.2367|-83.27328|Y|AM
6194448010002|||FP||GUIRAND|JOYCE||||111 Maltese Drive||Middletown|NY|10940|111
Maltese Dr||Middletown|NY|109402115|8453424774|8453435790|||2013-11-14T23:00:26.
0_6|1235373978|1235373978002||||||||||||||||41.45699|-74.38626|Y|AM
6194525849003|||||Thomas|Abey||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 H
arry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13T15:15:01
.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:14:54.0Z|U|New|v10_
6|1053594002|1053594002003||||||||||||||||32.81096|-96.83699|Y|
6195061200001|||P||Rogalski|Kelly||MD||39450 West 12 Mile Road||NOVI|MI|48377|39
450 W 12 Mile Rd||Novi|MI|483773600|2486617393|2483444103|||2012-10-11T18:13:03.
v10_6|1033328356|1033328356001||||||||||||||||42.49805|-83.43774|Y|AM
6197015772001|||FP||Landweir|Mary|Lisa|MD|FAMILY HEALTH ASSOCIATES|2449 COUNTY H
IGHWAY I||CHIPPEWA FALLS|WI|54729|2449 County Highway I||Chippewa Falls|WI|54729
5406|7157239138|7157238633|||2013-08-25T13:54:43.0Z|2014-11-14T06:00:00.0Z|New|P
|||||44.95165|-91.36054|Y|AM
6197096202001|||||Boltin|Harry||MD||255 Lafayette Avenue|Good Samaritan Hospital
|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685196|8453573579|
1-14T22:55:36.0Z|U|New|v10_6|1851369060|1851369060001||||||||||||||||41.11199|-7
4.13325|Y|AM
6197456018001|||||Serban|Valeria||MD||257 Lafayette Avenue|Suite 330|Suffern|NY|
10901|257 Lafayette Ave|Ste 330|Suffern|NY|109014831|8453688808|8453685608|||201

23:10:55.0Z|N||v10_6|1306942933|1306942933001||||||||||||||||41.11222|-74.13531|
Y|AM
6197481032001|||US||Bazan|Luisa||MD||2799 W. Grand Blvd.||Detroit|MI|48202|2799
10_6|1891863320|1891863320001||||||||||||||||42.36731|-83.08504|Y|AM
6199032710001|||||Berth|Flora|||Gastro Clinic Center|Jersy Lane||San Diego|CA|25
485|Jersy Lane||San Diego|CA|25485|6195478548|6195478549|||2013-11-14T09:50:56.0
Z|2013-11-14T10:04:48.0Z||MedicalOfficeSolutions10.6|2013-11-14T10:04:48.0Z|D|Ne
w~Change~Cancel~MedHistory~CIMessage~CIEvent|v10_6mu2|2574852440|2574852440001|D
octor|||||||||||berth@adaptamed.direct-ci-cert.com|||24445||||NU
6199862528001|||US||Popovich|John||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2
ew|v10_6|1306914833|1306914833001||||||||||||||||42.36731|-83.08504|Y|AM
6200061284001|||||Rowin|Kenneth||MD||2 Crosfield Avenue|Suite 102|West Nyack|NY|
T23:09:44.0Z|N||v10_6|1629077664|1629077664001||||||||||||||||41.09306|-73.97705
|Y|AM
6200299256001|||||Discenza|Ronald||MD||521 ROUTE 304||BARDONIA|NY|10954|521 Rout
e 304||Bardonia|NY|109541620|8456246400|8456246402|||2013-11-14T22:57:24.0Z|2014
8137882|1528137882001||||||||||||||||41.11688|-73.99441|Y|AM
6200858895001|||HO||Dabak|Vrushali||MD||39450 West 12 Mile Road||Novi|MI|48377|3
9450 W 12 Mile Rd||Novi|MI|483773600|2486616467|2483446699|||2013-07-27T09:12:37
|v10_6|1497963474|1497963474001||||||||||||||||42.49805|-83.43774|Y|AM
is|2013-11-14T06:42:12.0Z|D|New|v10_6|1922063565|1922063565001||||||||||||||||29
.47159|-98.60189|Y|
6201839886002|||FP||Bercasio|Roland|M|MD||11803 JEFFERSON AVE|STE 100|NEWPORT NE
WS|VA|23606|11803 Jefferson Ave|Ste 100|Newport News|VA|236064390|7575941840|757
t|2013-11-14T23:42:04.0Z|U|New|v10_6|1396710612|1396710612002||||||||||||||||37.
08483|-76.48321|Y|AM
6202656255001|||||Mendoza|Glenn||MD||255 LAFAYETTE AVE||Suffern|NY|10901|255 Laf
ayette Ave||Suffern|NY|109014812|8453685104|8453685375|||2013-11-14T23:06:08.0Z|
|1205823796|1205823796001||||||||||||||||41.11199|-74.13325|Y|AM
6204223252001|||IM||Shina|Christine||MD||6777 West Maple Road||WEST BLOOMFIELD|M
I|48322|6777 W Maple Rd||West Bloomfield|MI|483223013|2486616466|2486616442|||20
19:44:53.0Z|U|New|v10_6|1558457994|1558457994001||||||||||||||||42.53865|-83.407
06|Y|AM
6205631578001|||||Palop|Ricardo||MD||255 Lafayette Avenue|Good Samaritan Hospita
l|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|8453685327
|||2013-11-12T20:28:52.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|201311-14T23:07:22.0Z|U|New|v10_6|1649286394|1649286394001||||||||||||||||41.11199|74.13325|Y|AM
6206322086001|ds2165456||||MaxSuperLastnameMaxSuperLastnameMax|MaxSuperFirstname
MaxSuperFirstnameM|MaxSuperMiddlenameMaxSuperMiddlenam|||Max address max address
maghfh|APT 101 Max Max APT 101Max APT 1012|NEW YORKsdkj kjdhfkjhkdjh kjsdfhkj|N
Y|10001|Max Address Max Address Maghfh||New York|NY|10001|9885336093|9898989898|
Supermaxtestmaxtestmaxtestmaxtmaxtestmaxtestmaxtestmaxtestmaxtestmax@maxtest.com
||2013-10-15T07:18:27.0Z|2015-11-14T09:28:02.0Z|New~Refill|MedWriteTest|2013-11-
14T09:29:20.0Z|U|New|v10_6mu2|1104141738|1104141738001||||||||||||||||40.74892|73.99133|N|
6206384120002|||||GURNIAK|JAMES||||6 LIBERTY SQUARE||STONY POINT|NY|10980|6 Libe
rty Square Mall||Stony Point|NY|109802400|8457865544|8457865229|||2013-11-14T23:
|N||v10_6|1851420897|1851420897002||||||||||||||||41.22182|-73.98521|Y|
6206523436001|||||Shah|Parag||MD||2 Crosfield Avenue|Suite 318|West Nyack|NY|109
94|2 Crosfield Ave|Ste 318|West Nyack|NY|109942220|8453535600|8453535668|||201311-14T23:11:01.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:11:01.0Z|N||v10_6|1154316503|1154316503001||||||||||||||||41.09306|-73.97705|Y|
AM
6206745000001|||||ESIWAN|ESIWAN|||ESI123 Clinic|1055 Winding Rd||Strawberry Fiel
d|IL|60030|1055 Winding Rd||Grayslake|IL|60030|8475575098|8475575098|strawberryf
ields@gmail.com||2013-11-14T17:30:19.0Z|2099-12-31T00:00:00.0Z|New~Refill|PSAllS
criptsTest_4x|2013-11-14T17:30:19.0Z|N||v4_20|1312726056|1312726056001||||||||||
||||||42.34523|-88.02986|N|
6206745000002|||||ESIWAN|ESIWAN|||ESI123 Clinic|1055 Winding Rd||Strawberry Fiel
d|IL|60030|1055 Winding Rd||Grayslake|IL|60030|8475575098|8475575098|strawberryf
ields@gmail.com||2013-11-14T17:30:22.0Z|2099-12-31T00:00:00.0Z|Eligibility|Allsc
ripts4.0Test|2013-11-14T17:30:22.0Z|N||v4_0|1312726056|1312726056002||||||||||||
||||42.34523|-88.02986|N|
6208302417001|BA5476610||||Tolmeijer|Christophersonson||||1981 Marcus Avenue #22
5||Lake Success|NY|11042|1981 Marcus Ave|Ste 225|New Hyde Park|NY|110421048|5165
704201|8552721129|||2013-11-14T18:13:31.0Z|2099-09-19T12:00:00.0Z|New|CoPilotTes
t|2013-11-14T18:13:31.0Z|N||v10_6mu2|1407826613|1407826613001||||||||||||||||40.
75463|-73.69526|Y|
6208386709001|||||May|Louis||MD||500 New Hempstead Road||New City|NY|10956|500 N
ew Hempstead Rd||New City|NY|109561132|8453623200|8453624464|||2013-11-14T23:05:
|v10_6|1164426987|1164426987001||||||||||||||||41.14964|-74.03305|Y|AM
6209217780003|||||Ciuffo|Allen|A|MD||205 Business Park Dr., Ste. 200||Virginia B
each|VA|23462|205 Business Park Dr|Ste 200|Virginia Beach|VA|234626335|757261070
rsTest|2013-11-14T22:29:19.0Z|U|New|v10_6|1649243502|1649243502003||||||||||||||
||36.84436|-76.1767|Y|AM
6209394108001|MR0366701||EM||Reddy|Michael ED|||FSLHC_ Emergency Department|1656
Champlin Avenue||Utica|NY|13502|1656 Champlin Ave||Utica|NY|135024830|315624600
0|3156245031|mreddy@mvnhealth.com||2013-06-18T23:10:51.0Z|2099-12-31T00:00:00.0Z
|New|AllScripts106|2013-11-14T20:11:08.0Z|U|New|v10_6mu2|1386647444|138664744400
1||||||||||||||||43.0984|-75.27819|Y|AM
6209394108002|MR0366701||EM||Reddy|Michael ED|||FSLHC Emergency Dept|1656 Champl
in Ave||Utica|NY|13502|1656 Champlin Ave||Utica|NY|135024830|3156246112|31562463
08|mreddypa@mvnhealth.com||2013-11-14T21:45:26.0Z|2099-12-31T00:00:00.0Z|New|All
Scripts106|2013-11-14T21:45:26.0Z|N||v10_6mu2|1386647444|1386647444002||||||||||
||||||43.0984|-75.27819|Y|AM
6209575706001|||||Duckett|Eva|J|||5995 Opus Pkwy., Ste. 200|Virtual Radiologic P
rofes.|Minnetonka|MN|55343|5995 Opus Pkwy|Ste 200|Minnetonka|MN|553439058|952392
|||||44.89667|-93.40747|Y|AM
6209696809001|||||Pekal|Wieslawa||||445 BILTMORE AVENUE|SUITE 100|asheveille|NC|
28801|445 Biltmore Ave|Ste 100|Asheville|NC|288014530|8282534262|8284180932|||20
T23:36:45.0Z|N||v10_6|1508856436|1508856436001||||||||||||||||35.57977|-82.55064
|Y|AM
6210332055001|AV2078079||||Vanlunteren|Erik|||Case|University Hospitals Case Med
ical C|11100 Euclid Ave|Cleveland|OH|44106|11100 Euclid Ave||Cleveland|OH|441061
716|2168441000|2168441000|Erik.vanlunteren@UHhospitals.Org||2013-11-14T15:36:08.
0Z|2099-12-31T00:00:00.0Z|New|AllScripts106|2013-11-14T15:36:08.0Z|N||v10_6mu2|1
609892033|1609892033001||||||||||||||||41.50651|-81.60654|Y|
6210807858001|||AS||Krenzer|Kari|Ann|MD|Children's Physicians - WVillagePte|110

N 175th St STE 1000|Childrens Physician's - WVillagePte|Omaha|NE|68118|110 N 175
th St|Ste 1000|Omaha|NE|681183581|4029555437|4029557310|kkrenzer@childrensomaha.
org||2012-09-28T14:54:07.0Z|2014-11-14T06:00:00.0Z|New~Refill|TCHOmahaTest|201311-14T19:57:14.0Z|U|New~Refill|v10_6|1710083340|1710083340001||||||||||||||||41.
25753|-96.19026|Y|AM
6210894955001|||FP||Sheikh|Shoaib||MD|MEMORIAL MEDICAL CENTER|216 SUNSET PLACE||
NEILLSVILLE|WI|54456|216 Sunset Pl||Neillsville|WI|544561706|7157433101|71574362
42|||2013-09-16T15:19:32.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2013-11-14T20:
03:43.0Z|U|New|v10_6|1275575581|1275575581001||||||||||||||||44.55651|-90.60678|
Y|AM
6210976182001|||||Goldsmith|David|Edward|PA||Upstate Medical Rehabilitatio|111 D
octors Drive|GREENVILLE|SC|29605|111 Doctors Dr||Greenville|SC|296055622|8647977
oursTest|2013-11-14T23:19:19.0Z|N||v10_6|1659325934|1659325934001|||||||||||||||
|34.81466|-82.41089|Y|
6211604718001|||FP||Reinert|Kenneth|G|MD||1512 N GREEN MOUNT ROAD SUITE 108||OFA
LLON|IL|62269|1512 N Green Mount Rd|Ste 108|O Fallon|IL|622691953|6186245510|618
13-11-14T20:03:46.0Z|U|New|v10_6|1295781607|1295781607001||||||||||||||||38.5856
4|-89.92829|Y|AM
6211803823002|||PD||KRONN|DAVID||||503 Grasslands Road|Suite 200|Valhalla|NY|105
95|503 Grasslands Rd|Ste 200|Valhalla|NY|105951593|9143045300|9143451753|||201311-14T23:03:37.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:03:37.0Z|N||v10_6|1619979697|1619979697002||||||||||||||||41.0721|-73.80105|Y|A
M
6213227765001|||||McGrath|James|G|||1212 SPRUCE STREET|SUITE 209|BELMONT|NC|2801
2|1212 Spruce St|Ste 209|Belmont|NC|280123386|7048655210|7048251788|||2013-11-14
8.0Z|N||v10_6|1487609319|1487609319001||||||||||||||||35.24945|-81.03171|Y|AM
8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-14T08:03:05.0Z|2
ion||||||||||AM
6213953774001|||OS||Vogtkinsey|Carol|Lynn|APNP|ST VINCENT HOSPITAL|835 S Van Bur
en St|PO Box 13508|Green Bay|WI|54307|835 S Van Buren St||Green Bay|WI|543013575
|9204338360|9204313163|||2013-08-25T13:45:58.0Z|2014-11-14T06:00:00.0Z|New~Refil
l|PreveaTest|2013-11-14T20:03:49.0Z|U|New|v10_6|1568782399|1568782399001||||||||
||||||||44.50139|-88.0129|Y|AM
6214362637001||AS4335431|||RC-1|Parag|||RAMIREZ OB-GYN GROUP PSC|add 1|add 1|new
york|OH|43534|Add 1||Mc Clure|OH|43534|4565645647|4565645647||4565645647^HP|201
3-11-14T09:51:53.0Z|2099-12-31T00:00:00.0Z|New~Refill|Bizmatics10.6MU|2013-11-14
T09:51:53.0Z|N||v10_6mu2|1083829667|1083829667001|Doctor|||||||||||||||41.35687|
-83.93598|N|
6214483086003|||||And|Mih||||Street J||Gres|NM|56328|Street J||Flensburg|MN|5632
8|4637547748|6457546852|||2013-11-14T14:49:17.0Z|2063-11-14T14:46:53.0Z|New~Refi
ll|EzDerm|2013-11-14T14:49:17.0Z|N||v10_6|8506635373|8506635373003||||||||||||||
||45.95439|-94.531|N|
6214586722003|||||EVANS|RICHARD||||6 MEDICAL PARK DRIVE||POMONA|NY|10970|6 Medic
al Park Dr||Pomona|NY|109703525|8453545000|8453549469|||2013-11-14T22:57:54.0Z|2
1821073289|1821073289003||||||||||||||||41.16792|-74.03309|Y|
6215209300001|||||Bosch|Anne|Marie|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1518224435|1518224435001||||||||||||||||32.81096|-96.83699|Y|
6215943385001|||||Pizon|Eric|||JP Test Practice|Main Street 1|Main street 2|Hunt

svilley|AL|358014568|Main Street 1||Huntsville|AL|35801|6107777777|7106987456|er
ic.pizon@allscripts.com||2013-11-14T15:56:45.0Z|2099-12-31T00:00:00.0Z|New~Refil
l|AllScripts106|2013-11-14T15:56:46.0Z|N||v10_6mu2|1790976496|1790976496001|||||
|||123-45-6789||||||||34.72728|-86.57079|N|
6216143449001|||PD||Patel|Samir|A|DO||1900 E LAKE SHORE DRIVE SUITE 330||DECATUR
|IL|62521|1900 E Lake Shore Dr|Ste 330|Decatur|IL|625213848|2174232889|217423292
3|||2013-08-25T13:42:07.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-1114T20:03:54.0Z|U|New|v10_6|1992704332|1992704332001||||||||||||||||39.82765|-88.
93189|Y|AM
6216225626001|DC6251451||||CRAZY|DOCTOR|||Anchor Hospital|5454 Yorktowne Drive||
Atlanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|7702528141|67852241
13-11-14T14:05:45.0Z|N||v10_6|1234567893|1234567893001||||||||||||||||33.60634|84.45192|Y|
6216598204001|||EM||Azie|William||MD||123 St Marys Hospital||Richmond|VA|23226|1
23 St Marys Hospital||Richmond|VA|23226|8042818184|8042859305|||2012-03-07T00:42
:33.0Z|2014-10-31T04:00:00.0Z|New|BonSecoursTest|2013-11-14T16:12:28.0Z|U|New|v1
0_6|1114985371|1114985371001||||||||||||||||37.58269|-77.51695|N|AM
6217412843001|||||Troy|Lisa||MD||171 Ramapo Road||Garnerville|NY|10923|171 Ramap
o Rd||Garnerville|NY|109231552|8459471772|8459474487|||2013-11-14T23:13:31.0Z|20
518279736|1518279736001||||||||||||||||41.20087|-73.98957|Y|AM
6217700726002|||PM||Topalli|Krishna||||676 Battlefield Blvd|Suite B|Chesapeake|V
A|23320|676 Battlefield Blvd N|Ste B|Chesapeake|VA|233200306|7574104219|75741042
3-11-14T22:44:10.0Z|N||v10_6|1720008261|1720008261002||||||||||||||||36.74275|-7
6.24408|Y|AM
6218055112001|||||Zhou-Wang|Meng||MD||200 Patewood Drive|Suite B350|Greenville|S
C|29615|200 Patewood Dr|Ste B350|Greenville|SC|296156337|8033297772|8644544505||
-14T23:37:41.0Z|N||v10_6|1023088002|1023088002001||||||||||||||||34.85436|-82.32
464|Y|AM
6219058570001|||||Haynes|Boyd|W III|MD||250 NAT TURNER BLVD||NEWPORT NEWS|VA|236
06|250 Nat Turner Blvd S||Newport News|VA|236062899|7575961900|7575918560|||2013
2:33:05.0Z|N||v10_6|1902968746|1902968746001||||||||||||||||37.08584|-76.48734|Y
|AM
6219759571001|||||Varghese|Anju||MD||1 Medical Park Drive||Pomona|NY|10970|1 Med
ical Park Dr||Pomona|NY|109703516|8458258167|8452906200|||2013-11-14T23:13:47.0Z
6|1811950850|1811950850001||||||||||||||||41.16664|-74.03324|Y|AM
6220130226001|||||Truett|April|A|MD||850 KEMPSVILLE ROAD||NORFOLK|VA|23502|850 K
empsville Rd||Norfolk|VA|235023920|7572615946|7572610071|||2013-11-14T22:44:14.0
_6|1013988195|1013988195001||||||||||||||||36.85317|-76.19279|Y|AM
6220397783001|||||Komorowski|Anna||MD||255 Fifth Avenue||Nyack|NY|10960|255 5th
Ave||Nyack|NY|109601824|8453621750|8453621577|||2013-11-14T23:03:02.0Z|2014-11-1
67|1902848567001||||||||||||||||41.09596|-73.92604|Y|AM
6220478021001|||||Fox|Michael|P|MD||1351 crestview road|mountainview obstetrics
& gyn|easley|SC|29642|1351 Crestview Rd||Easley|SC|296422408|8648555006|86485019
3-11-14T22:16:30.0Z|U|New|v10_6|1912937269|1912937269001||||||||||||||||34.80546
|-82.55046|Y|
6221186672001|||||AaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaX|BbbbbbbbbbbbbbbbbbbbbbbbX|
CcccccccccccccccccccccccX||Test Facility|123 Test facility||Cedar Park|TX|78613|
123 Test Facility||Cedar Park|TX|78613|5137612368|5123129389|||2013-11-14T21:39:
4.0Z|N||v10_6mu2|8754325636|8754325636001||||||||||||||||30.52606|-97.81378|N|
6222247028002|AA5026439|U78965||DR.|RAO|LATHA|||Mike's 11.2 Test Org|PAIN MGMT W

/ EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|513770770
0|||2013-08-16T17:57:34.0Z|2096-11-14T17:06:01.0Z|New~Refill~Change~MedHistory|M
edPlusQA4|2013-11-14T17:04:13.0Z|U|New~Change~MedHistory|v4_20|8709780968|870978
0968002|||||||||||||||||||
6222269501001|||||Chang|Peter||MD||55 OLD TURNPIKE RD||Nanuet|NY|10954|55 Old Tu
rnpike Rd||Nanuet|NY|109542461|8456238400|8456232451|||2013-11-14T22:56:08.0Z|20
366426264|1366426264001||||||||||||||||41.10032|-74.02894|Y|AM
6222423355001|||||Ratliff|Irene|M|CRNA||Commonwealth Anesthesia Assoicates|13700
St. Francis Blvd|Midlothian|VA|23114|13700 St Francis Blvd||Midlothian|VA|23114
3222|8045942622|8045940915|||2013-11-14T23:32:07.0Z|2014-11-14T05:00:00.0Z|New~R
|||||||||||||37.46622|-77.65855|Y|
6222434238001|||||Brewer|Lisa|G|NP||576 Jefferson Ave||Fort Eustis|VA|23604|576
Jefferson Ave||Fort Eustis|VA|236041373|7573147737|7573147854|||2013-11-14T23:43
||v10_6|1932199932|1932199932001||||||||||||||||37.15826|-76.57198|Y|AM
6222622956001|UPBAS9509|UPBASSL09|VS|MR|SmokeTester2|SmokeTester2|M||Children's|
4690 Parkway Dr|new addressline2|MASON|OH|45040|4690 Parkway Dr||Mason|OH|450408
172|5132295888|5132295888|sli-new@someserver.com|5132295888^BN~5132295888^WP~513
2295888^HP|2013-10-15T19:23:27.0Z|2096-11-14T16:38:31.0Z|New~MedHistory~Eligibil
ity|MedPlusTest|2013-11-14T16:38:27.0Z|U|New~MedHistory~Eligibility|v10_6mu2|511
5550001|5115550001001||||||||||||||||39.30378|-84.30983|Y|AM
6222857891001|||||Diaz|Lloyd||MD||255 Lafayette Avenue|Good Samaritan Hospital|S
uffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|8453685327|||
13325|Y|AM
6222983861001|||||Zimmer|Andrea|L.|MD||1938 E. HWY 34|CHILDREN'S PHYS-PLATTSM|PL
ATTSMOUTH|NE|68048|1938 E Highway 34||Plattsmouth|NE|680485676|4029557150|402955
7160|||2013-11-14T19:38:24.0Z|2014-11-14T06:00:00.0Z|New~Refill|TCHOmahaTest|201
3-11-14T19:57:18.0Z|N|New|v10_6|1124284674|1124284674001||||||||||||||||40.99949
|-95.90286|Y|AM
6223244156001|||||Gor|Asutosh|S|||1583 HEALTHCARE DRIVE #165|CAROLINA BLOOD AND
CANCER CARE|Rock Hill|SC|29732|1583 Health Care Dr|# 165|Rock Hill|SC|297323858|
8033297772|8033299821|||2013-11-12T20:34:00.0Z|2014-11-14T05:00:00.0Z|New~Refill
|||||||||||34.95109|-81.04975|Y|AM
6223312219001|AK8080791||||apauladeluxenodeProvider|pauladeluxenode|||PaulaBasic
Node2deluxeEdittw|123 Main St.|Ste 104|Raleigh|NC|27615|123 Main St.||Raleigh|NC
|27615|9195555555|9195554444|paula.austin@allscripts.com||2012-06-19T17:17:11.0Z
|2099-12-31T00:00:00.0Z|New~Refill|PSAllScriptsTest_4x|2013-11-14T18:59:44.0Z|U|
New~Refill|v4_20|1396725537|1396725537001||||||||||||||||35.89146|-78.63396|N|
6223312219002|AK8080791||||apauladeluxenodeProvider|pauladeluxenode|||PaulaBasic
Node2deluxeEdittw|123 Main St.|Ste 104|Raleigh|NC|27615|123 Main St.||Raleigh|NC
|27615|9195555555|9195554444|paula.austin@allscripts.com||2012-06-19T17:17:12.0Z
|2099-12-31T00:00:00.0Z|MedHistory~Eligibility|Allscripts4.0Test|2013-11-14T18:5
9:46.0Z|U|MedHistory~Eligibility|v4_0|1396725537|1396725537002||||||||||||||||35
.89146|-78.63396|N|
134884001|||||||||||||||||||
6223536007001|||||Hagan|Michael||MD||8222 Meadowbridge Road||Mechanicsville|VA|2
3116|8222 Meadowbridge Rd||Mechanicsville|VA|231162331|8042287300|8042287300|||2
4T22:18:18.0Z|N||v10_6|1861467003|1861467003001||||||||||||||||37.62873|-77.3764
8|Y|AM
6227047068001|||||Strauss|Debra||MD||11 Medical Park Drive|Suite 104|Pomona|NY|1
0970|11 Medical Park Dr|Ste 104|Pomona|NY|109703559|8456341871|8453544104|||2013

3:12:48.0Z|N||v10_6|1841294311|1841294311001||||||||||||||||41.16691|-74.03359|Y
|AM
6227065219001|||||Neujahr|David|C|||1364 Clifton Road, NE Suite F520|McKelvey Tr
ansplant Center|Atlanta|GA|30322|1364 Clifton Rd NE|Ste F520|Atlanta|GA|30322105
9|4047279651|4047271516|||2013-11-12T20:33:02.0Z|2014-11-14T05:00:00.0Z|New~Refi
ll|BonSecoursTest|2013-11-14T23:35:50.0Z|U|New|v10_6|1801807961|1801807961001|||
|||||||||||||33.79226|-84.3224|Y|AM
6227179077001|||||Griffin|James|D.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1801858683|1801858683001||||||||||||||||32.81096|-96.83699|Y|
6227269621001|||FP||Kohler|Aliya||MD||2520 S Telegraph Rd, Suite 100||Blooomfiel
d Hills|MI|48302|2520 S Telegraph Rd|Ste 100|Bloomfield Hills|MI|483020202|24845
16060|2484516005|||2012-10-11T18:12:29.0Z|2014-11-14T05:00:00.0Z|New~Refill|Henr
yFordTest|2013-11-14T19:41:48.0Z|U|New|v10_6|1811099559|1811099559001|||||||||||
|||||42.60212|-83.28976|Y|AM
6227393480001|||||Walsh|Margaret||MD||3660 Boulevard|STE J|Colonial Heights|VA|2
3834|3660 Boulevard|Ste J|Colonial Heights|VA|238341345|8045201099|8045208404|||
52|Y|AM
6227443457001|||||Maisel|Louis||MD||20 Squadron Boulevard|Suite 102|New City|NY|
10956|20 Squadron Blvd|Ste 102|New City|NY|109565232|8457080900|8457080931|||201
23:05:32.0Z|N||v10_6|1851327654|1851327654001||||||||||||||||41.15818|-73.9828|Y
|AM
6227634626001|||FP||Hatcher|Lisa|A|MD||620 W North St||Columbia City|IN|46725|62
0 W North St||Columbia City|IN|467251214|2602440202|2602488255|lisahatcher72@yah
oo.com||2013-04-30T17:59:07.0Z|2014-11-14T05:00:00.0Z|New~Refill|ParkviewHospita
lTest|2013-11-14T19:45:35.0Z|U|New|v10_6|1932164621|1932164621001|||||||||||||||
|41.16439|-85.49657|Y|AM
6228500578001|||CD||Eapen|George||MD||2905 Boulevard|Virginia Medical Group|Colo
nial Heights|VA|23834|2905 Boulevard||Colonial Heights|VA|238342400|8045260682|8
est|2013-11-14T22:20:00.0Z|U|New~Refill|v10_6|1508818048|1508818048001||||||||||
||||||37.26818|-77.41109|Y|AM
6228587518001|||OPH||Sapeika|Raphael|J.|MD||5500 Auto Club Drive||DEARBORN|MI|48
126|5500 Auto Club Dr||Dearborn|MI|481262779|3135628000|3134254463|||2012-10-11T
0Z|U|New|v10_6|1912067323|1912067323001||||||||||||||||42.32778|-83.22224|Y|AM
243086001|||||||||||||||||||
6234003294001|||||McCarthy|F|Robert|MD||255 Lafayette Avenue|Good Samaritan Hosp
13-11-14T23:06:00.0Z|U|New|v10_6|1457429292|1457429292001||||||||||||||||41.1119
9|-74.13325|Y|AM
6234206616001|||||Selter|Joel||MD||222 Route 59|Suite 109|Suffern|NY|10901|222 R
oute 59|Ste 109|Suffern|NY|109015207|8453577277|8453575516|||2013-11-14T23:10:47
10_6|1174526016|1174526016001||||||||||||||||41.11288|-74.11188|Y|AM
6234963554002|||||SAUNDERS|KAREEN||||118 RIVER ROAD||HARRIMAN|NY|10926|118 River
Rd||Harriman|NY|109263021|8453218028|8453218029|||2013-11-14T23:10:21.0Z|2014-1
1-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:10:21.0Z|N||v10_6|14977
95736|1497795736002||||||||||||||||41.31304|-74.14073|Y|
6235715888001|||FP||Hanson|William|R|DO|PINE GROVE FAMILY MEDICINE|2741 N CLAREM
ONT AVENUE||EAU CLAIRE|WI|54703|2741 N Clairemont Ave|Ste D|Eau Claire|WI|547032

595|7158340711|7158583433|||2013-09-16T15:20:07.0Z|2014-11-14T06:00:00.0Z|New|Pr
eveaTest|2013-11-14T20:04:10.0Z|U|New|v10_6|1801902069|1801902069001||||||||||||
||||44.82749|-91.54341|Y|AM
6235799676001|||||Zwickler|Don||MD||5 MEDICAL PARK DRIVE||Pomona|NY|10970|5 Medi
cal Park Dr||Pomona|NY|109703516|8453623111|8453623198|||2013-11-14T23:15:16.0Z|
|1255409553|1255409553001||||||||||||||||41.16659|-74.03187|Y|AM
6236586494043|AL2254655|9855412||DR.|LUGO|ANTHONY|||Mike's 11.2 Test Org|PAIN MG
MT W/ EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|51377
07700|||2013-10-01T14:15:45.0Z|2096-11-14T17:05:36.0Z|New~MedHistory|MedPlusQA4|
2013-11-14T17:03:49.0Z|U|New~MedHistory|v4_20|1184626368|1184626368043||||||||||
|||||||||
6236884180002|||ORS||Durica|David||||P. O. BOX 7429||PORTSMOUTH|VA|23707|PO Box
7429||Portsmouth|VA|237070429|7573971201|7573971400|||2013-11-14T22:31:01.0Z|201
75535429|1275535429002||||||||||||||||36.83632|-76.34402|N|AM
6236986348001|||||Dyroff|Kristen||NP||Good Samaritan Hospital|255 Lafayette Aven
-11-14T23:24:17.0Z|N||v10_6|1558585398|1558585398001||||||||||||||||41.11199|-74
.13325|Y|
6237199859001|||N||Zaman|Iram||DO||24555 Haig||TAYLOR|MI|48180|24555 Haig St||Ta
ylor|MI|481803322|3133752000|3133752166|||2012-10-11T18:13:05.0Z|2014-11-14T05:0
0:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42:30.0Z|U|New|v10_6|1659581429|1
659581429001||||||||||||||||42.2367|-83.27328|Y|AM
6237274199002||IL 379299|AMI||Butler|Stan|||Test Location 01|999 Apple Street||M
iddletown|NY|10940|999 Apple Street||Middletown|NY|10940|3948573958|3948573959||
|2013-11-14T16:04:56.0Z|2053-11-14T16:04:59.0Z|New~Refill|SRSSoftware|2013-11-14
T16:04:56.0Z|N||v10_6mu2|1212454578|1212454578002||5||||||||||||||41.45437|-74.4
3041|N|AM
6238106499001|||||Palmer|Melvin|B|PA-C||730 Thimble Shoals Boulevard|STE 130|New
port News|VA|23606|730 Thimble Shoals Blvd|Ste 130|Newport News|VA|236064562|757
8731554|7578733239|||2013-11-14T23:27:54.0Z|2014-11-14T05:00:00.0Z|New~Refill|Bo
nSecoursTest|2013-11-14T23:27:54.0Z|N||v10_6|1669736971|1669736971001|||||||||||
|||||37.08348|-76.46897|Y|AM
6238188646001|||||Spivack|Joel||DPM||978 Route 45|Northside Plaza|Pomona|NY|1097
0|978 Route 45||Pomona|NY|109703521|8453542700|8453542809|||2013-11-14T23:12:23.
0_6|1114066313|1114066313001||||||||||||||||41.17031|-74.03279|Y|
6238444312002|||||Ginos|Jason|James|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1891925723|1891925723002||||||||||||||||32.81096|-96.83699|Y|
6238792150001|||||Bagrodia|Mona|Ambika|||5201 HARRY HINES BLVD||DALLAS|TX|75235|
5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2011-02-17T20
:11:01.0Z|2013-11-14T11:18:10.0Z||ParklandTest4.2|2013-11-14T11:18:10.0Z|D||v10_
6|1336381193|1336381193001||||||||||||||||32.81096|-96.83699|Y|
6239281780001|||||Creech|Charlotte||MD||2 Executive Boulevard|Suite 406|Suffern|
NY|10901|2 Executive Blvd|Ste 406|Suffern|NY|109018220|8453579002|8455045116|||2
4T22:56:53.0Z|N||v10_6|1982631198|1982631198001||||||||||||||||41.11945|-74.1158
5|Y|AM
6242051244001|JMC003959||AMI||CROCKER|JAY|||CPSI COMMUNITY HEALTH SYSTEM|7700 WA
LL ST||MOBILE|AL|36604|7700 Wall St||Mobile|AL|36604|2516491111|2516491222|jay.c
rocker@cpsi.com||2013-10-18T16:11:03.0Z|2023-10-18T00:00:00.0Z|New|CPSITest106|2
013-11-14T18:02:33.0Z|U|New|v10_6mu2|2546987118|2546987118001||||||||||||||||30.
68302|-88.06763|N|AM
6242133851001|||||Goldberg|Robert||MD||10 Esquire Road|Suite 6|New City|NY|10956
|10 Esquire Rd|Ste 6|New City|NY|109563336|8456342727|8456342882|||2013-11-14T22
Z|N||v10_6|1780628362|1780628362001||||||||||||||||41.13687|-73.9927|Y|AM
6245009272002|||OBG||Ramsey|Tiffany||||7601 Forest Ave||Richmond|VA|23229|7601 F
orest Ave||Richmond|VA|232294933|8047410440|8042882277|||2013-11-14T22:23:13.0Z|
|1437139466|1437139466002||||||||||||||||37.60449|-77.54079|Y|AM
6245094514001|AQ7225964||||PROVIDER|PROVIDER|||LMTA EPRE Healthcare One|1 MASON|
|SCHENECTADY|NY|12345|1 Mason||Schenectady|NY|123450001|5132048933|5132048934|||
2013-10-21T13:26:21.0Z|2096-11-14T12:10:44.0Z|New~MedHistory~Eligibility|MedPlus
QA5|2013-11-14T12:10:40.0Z|U|New~MedHistory|v10_6mu2|2519648390|2519648390001|||
|||||||||||||42.81005|-73.95105|N|
6247535837002|||EM||Gentry|Nicholas|L|MD||2 Bernardine Drive|Mary Immaculate Hos
pital|Newport News|VA|23602|2 Bernardine Dr||Newport News|VA|236024404|757886627
rsTest|2013-11-14T22:46:33.0Z|U|New|v10_6|1497953079|1497953079002||||||||||||||
||37.14445|-76.51118|Y|AM
6248123591001|||ID||Johnson|Laura||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2
ew|v10_6|1336324243|1336324243001||||||||||||||||42.36731|-83.08504|Y|AM
6248216221002|||GP||Clark|Kris||||Richmond Emergency Physicians, Inc.|5801 Bremo
Rd.|Richmond|VA|23226|5801 Bremo Rd||Richmond|VA|232261907|8042877066|804673953
-11-14T23:22:10.0Z|N||v10_6|1154318624|1154318624002||||||||||||||||37.5843|-77.
51269|Y|AM
6249000030001|||||Solomon|Laurie||MD||257 Lafayette Avenue|Suite 380|Suffern|NY|
23:12:15.0Z|N||v10_6|1588677066|1588677066001||||||||||||||||41.11222|-74.13531|
Y|AM
6251053050001|||||Salu|Foluke||MD||259 North Middletown Road|Suite 1B|Nanuet|NY|
10954|259 N Middletown Rd|Ste 1B|Nanuet|NY|109541220|8456244057|8456244059|||201
23:10:06.0Z|N||v10_6|1922063098|1922063098001||||||||||||||||41.11479|-74.01048|
Y|AM
6251193499001|||||NQFI|NQFI|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
8.0Z|N||v10_6mu2|1416705568|1416705568001||||||||||||||||30.37025|-97.73773|Y|
6251228610001|||||Beck|Mary|M|MD||890 WEST FARIS ROAD|SUITE 330|GREENVILLE|SC|29
605|890 W Faris Rd|Ste 330|Greenville|SC|296054281|8644551270|8642331204|||201311-14T23:36:27.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:36:27.0Z|N||v10_6|1417077124|1417077124001||||||||||||||||34.81755|-82.41052|Y|
AM
6251676568041|AP9010000||AS||PrescriberOne|One|Test||Clinic One|90001 1ST AVE|ST
E 100|Washington|DC|20000|90001 1st Ave||Washington|DC|20000|2025551212|20255512
13|||2013-10-11T19:44:35.0Z|2063-10-11T19:45:40.0Z|New|MOSTTest106|2013-11-14T23
:00:12.0Z|U|New|v10_6mu2|1010000002|1010000002041|Doctor||||||||||||||||||AM
6251967322001|||||Muniyappa|Kishor||MD||1250 E Marshall Street||Richmond|VA|2329
8|1250 E Marshall St||Richmond|VA|232985051|8048285323|8048288660|||2013-11-14T2
0Z|N||v10_6|1467470583|1467470583001||||||||||||||||37.53987|-77.42977|Y|AM
6253264983002|||N||Brown|Susan||||7547 MEDICAL DR#1300||GLOUCESTER|VA|23061|7547
Medical Dr|# 1300|Gloucester|VA|230614351|8046958550|7572210851|||2013-11-14T23
Z|N||v10_6|1588607089|1588607089002||||||||||||||||37.41945|-76.5414|Y|AM
6254194544001|||ON||Won|Joseph||MD||19675 Allen Road||Brownstown|MI|48183|19675
Allen Rd||Brownstown Twp|MI|481831021|7344793311|7344798009|||2013-07-27T07:16:3
w|v10_6|1215900592|1215900592001||||||||||||||||42.16265|-83.22652|Y|AM
6255596556002|||||Atrey|Vartika||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201

0_6|1801026000|1801026000002||||||||||||||||32.81096|-96.83699|Y|
6257206436001|||||Strenger|Philip||MD||29 College Road||Monsey|NY|10952|29 Colle
ge Rd||Monsey|NY|109522861|8453527546|8453523493|||2013-11-14T23:12:51.0Z|2014-1
74648|1528074648001||||||||||||||||41.11386|-74.08945|Y|AM
6259081605002|||||Levine|Benjamin|D.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
:13:32.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:19:47.0Z|U|Ne
w|v10_6|1376508192|1376508192002||||||||||||||||32.81096|-96.83699|Y|
6259393125001|||||Meir|Michal||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 H
6|1386907848|1386907848001||||||||||||||||32.81096|-96.83699|Y|
6260678902002|||||Locker|Matthew|James|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1013159680|1013159680002||||||||||||||||32.81096|-96.83699|Y|
6261872561001|||||Holiday|Susan||DMD||102 McNamara Road||Spring Valley|NY|10977|
102 McNamara Rd||Spring Valley|NY|109771406|8455487846|8453541565|||2013-11-14T2
0Z|N||v10_6|1194939355|1194939355001||||||||||||||||41.15321|-74.05368|Y|
6262538815001|||PD||Williams|Nakia|V|MD||3031 West Grand Blvd., Suite 800||Detro
it|MI|48202|3031 W Grand Blvd|Ste 800|Detroit|MI|482023141|3139163121|3139167548
|||2012-10-11T18:13:16.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-1
1-14T19:42:45.0Z|U|New|v10_6|1659556181|1659556181001||||||||||||||||42.36928|-8
3.07642|Y|AM
6263215256001|||||McEnroe|Charles|S|MD||397 Little Neck Road, Suite 120||Virgini
a Beach|VA|23452|397 Little Neck Rd|Ste 120|Virginia Beach|VA|234525774|75747055
ursTest|2013-11-14T22:37:56.0Z|U|New|v10_6|1255303293|1255303293001|||||||||||||
|||36.84283|-76.09177|Y|AM
6263327101001|||||Bobroff|Lewis||MD||255 Lafayette Avenue|Good Samaritan Hospita
6263615075001|||||Zimmerman|Leonard||MD||2 Crosfield Avenue|Suite 310|West Nyack
|NY|10994|2 Crosfield Ave|Ste 310|West Nyack|NY|109942220|8453535600|8453535668|
1-14T23:15:07.0Z|N||v10_6|1962496935|1962496935001||||||||||||||||41.09248|-73.9
7776|Y|AM
6263709350001|||||Lucas|Shantae|L|||21 Hospital Drive|Cancer Care of Western Nor
th|Asheville|NC|28801|21 Hospital Dr||Asheville|NC|288014550|8282534262|82821356
3-11-14T23:36:48.0Z|U|New|v10_6|1063402998|1063402998001||||||||||||||||35.57953
|-82.55244|Y|AM
6263941331001|||||Broocker|Warren|A|MD||10710 Midlothian Tnpk|VA PHYS FOR WOMEN
-MIDLOTHIAN|Richmond|VA|23235|10710 Midlothian Tpke||North Chesterfield|VA|23235
4722|8048972100|8048972107|||2013-11-12T19:54:20.0Z|2014-11-14T05:00:00.0Z|New~R
efill|BonSecoursTest|2013-11-14T22:19:17.0Z|U|New|v10_6|1225002041|1225002041001
||||||||||||||||37.50793|-77.59552|Y|AM
6266494536002|||FP||BALA|RISHI||||9600 Patterson Ave
dency||Richmond|V
A|23229|9600 Patterson Ave||Richmond|VA|232296053|8047416200|8047416213|||2013-1
1-14T23:30:04.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:
30:04.0Z|N||v10_6|1366608481|1366608481002||||||||||||||||37.59654|-77.5917|Y|AM
6266750796001|||||Aminullah|Muhammad||MD||274 South Middletown Road||Nanuet|NY|1
0954|274 S Middletown Rd||Nanuet|NY|109543328|8456234180|8456234529|||2013-11-14
3.0Z|N||v10_6|1922027739|1922027739001||||||||||||||||41.0857|-74.015|Y|AM
6266798597001|||||Test|Fred||||908 Hillsdale||RICHARDSON|TX|75081|908 Hillsdale
Dr||Richardson|TX|750815232|9723450111|9723452222|||2013-08-05T14:49:34.0Z|209912-31T00:00:00.0Z|New~Refill|iMedicaTest106|2013-11-14T23:46:34.0Z|U|New~MedHist
ory|v10_6mu2|1266567890|1266567890001|Doctor|||||||||||||||32.93736|-96.70905|Y|
6266798597003|||||Test|Fred||||123 Main||Dallas|TX|75206|123 W Main St||Dallas|T
X|752081929|9723450111|9723452222|||2013-08-05T15:03:13.0Z|2099-12-31T00:00:00.0
Z|New~Refill|iMedicaTest106|2013-11-14T23:46:36.0Z|U|New~MedHistory|v10_6mu2|127
7567893|1277567893003|Doctor~PA|||||||||||||||32.77633|-96.82441|Y|
6266798597006|||||Test|Fred||||911 Hillsdale||RICHARDSON|TX|75081|911 Hillsdale
Dr||Richardson|TX|750815233|9723450111|9723452222|||2013-08-08T16:32:58.0Z|209912-31T00:00:00.0Z|New~Refill|iMedicaTest106|2013-11-14T23:46:37.0Z|U|New~MedHist
ory|v10_6mu2|1234111193|1234111193006||||||||||||||||32.93784|-96.7088|Y|
6266798597007|||||Test|Fred||||1000 Highland||RICHARDSON|TX|75081|1000 Highland|
|Richardson|TX|75081|9723450111|9723452222|||2013-08-08T17:03:18.0Z|2099-12-31T0
0:00:00.0Z|New~Refill|iMedicaTest106|2013-11-14T23:46:39.0Z|U|New~MedHistory|v10
_6mu2|1234533330|1234533330007||||||||||||||||32.95019|-96.71136|N|
6266980807001|||||Boenau|Ioliene|B|||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932|14
0Z|N||v10_6|1013943158|1013943158001||||||||||||||||35.93657|-84.14881|Y|AM
192887001|||||||||||||||||||
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T12:47:37.0Z|201
n||||||||||AM
6268293332001|||||Shreedhar|Kamini||MD||2 Crosfield Avenue|Suite 204|West Nyack|
NY|10994|2 Crosfield Ave|Ste 204|West Nyack|NY|109942221|8453586266|8453587872||
-14T23:11:31.0Z|N||v10_6|1073587325|1073587325001||||||||||||||||41.09306|-73.97
705|Y|AM
6268531822002|||FP||Guedon|Olivette|Angela|||244 Clearfield Ave|Suite 401|VIRGIN
IA BEACH|VA|23462|244 Clearfield Ave|Ste 401|Virginia Beach|VA|234621816|7577229
961x1900|7576053745|||2013-11-06T19:53:35.0Z|2014-11-14T05:00:00.0Z|New~Refill|B
|||||||||36.84593|-76.16484|Y|AM
6269295427001|||N||Angus|Elizabeth|J|MD||2799 West Grand Blvd.||DETROIT|MI|48202
|2799 W Grand Blvd||Detroit|MI|482022608|3139162585|3139163014|||2012-10-11T18:0
|New|v10_6|1023186830|1023186830001||||||||||||||||42.36731|-83.08504|Y|AM
6269609874002|||D||Soderberg|Kimberly|I|MD||3176 Holland Rd|Coastal Dermatology|
Virginia Beach|VA|23453|3176 Holland Rd||Virginia Beach|VA|234532637|7573687546|
Test|2013-11-14T23:38:44.0Z|U|New|v10_6|1386786697|1386786697002||||||||||||||||
36.7914|-76.07977|Y|AM
6270402574002|||N||Kilhenny|Patrick||||1012 First Colonial Road||Virginia Beach|
VA|23454|1012 First Colonial Rd||Virginia Beach|VA|234543072|7572274343|75748177
3-11-14T22:35:08.0Z|N||v10_6|1457466351|1457466351002||||||||||||||||36.86254|-7
6.02701|Y|AM
6271435938001|||||Andrews|Becky||NP||8700 Stony Point Pkwy|Suite 110|Richmond|VA
|23235|8700 Stony Point Pkwy|Ste 110|Richmond|VA|232351968|8043305501|8042724504
|||2013-11-14T22:46:39.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|201311-14T22:46:39.0Z|N||v10_6|1831102201|1831102201001||||||||||||||||37.55222|-77.
5625|Y|AM
6271919147002|||FP||Wellman|Tamara||||12470 US Rt 60||Ashland|KY|41101|12470 US
Route 60||Ashland|KY|411029687|6069281881|6069281776|||2013-11-14T23:21:40.0Z|20
700084480|1700084480002||||||||||||||||38.39005|-82.71236|Y|AM
6273258155001|||||Peterson|Amy||NP||327 Route 59|255 Lafayette Avenue|Suffern|NY
|10901|327 Route 59||Suffern|NY|109015318|8453685104|8453685359|||2013-11-14T23:
|N||v10_6|1508071770|1508071770001||||||||||||||||41.11089|-74.09868|Y|
6274675126001|||NEP||Szamosfalvi|Balazs||MD||2799 West Grand Blvd.||DETROIT|MI|4
8202|2799 W Grand Blvd||Detroit|MI|482022608|3139162707|3139165316|||2012-10-11T
0Z|U|New|v10_6|1639247174|1639247174001||||||||||||||||42.36731|-83.08504|Y|AM
6276169326002|||GP||Brown|Douglas||||611 DENBIGH BLVD.||NEWPORT NEWS|VA|23608|61
1 Denbigh Blvd||Newport News|VA|236084415|7572838300|7572838301|||2013-11-14T23:
|N||v10_6|1750322004|1750322004002||||||||||||||||37.14032|-76.51965|Y|AM
6276468504001|||||Patel|Darshana||MD||255 Lafayette Avenue|Good Samaritan Hospit
al|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|845368532
-11-14T23:07:36.0Z|U|New|v10_6|1497857064|1497857064001||||||||||||||||41.11199|
-74.13325|Y|AM
6277024835001|||||Reisner|Darrell||MD||4900 SEMINARY RD SUITE 350||Huntington|WV
|25701|4900 Seminary Rd Suite 350||Huntington|WV|25701|3045292800|3045292802|||2
4T22:50:47.0Z|N||v10_6|1912095019|1912095019001||||||||||||||||38.40382|-82.4389
4|N|AM
:25:28.0Z|2013-11-14T03:24:41.0Z|New|AmericanChoice|2013-08-14T03:25:29.0Z|D|New
|v10_6|9924411754|9924411754001|||||||||||||||||||
6278718914002|||FP||Campbell|Amy||||9 Manhattan Sq|Suite A|Hampton|VA|23666|9 Ma
nhattan Sq|Ste A|Hampton|VA|236666262|7578386335|7578380612|||2013-11-14T23:44:5
v10_6|1518941590|1518941590002||||||||||||||||37.06586|-76.39848|Y|AM
6278964153002|||ORS||Campbell|R||||1849 Old Donation Parkway||VA BEACH|VA|23454|
1849 Old Donation Pkwy||Virginia Beach|VA|234543004|7574228476|7574258476|||2013
3:44:57.0Z|N||v10_6|1891717807|1891717807002||||||||||||||||36.86396|-76.0326|Y|
AM
6279128519001|||IM||Dizon|Emmanuel||MD||2547 E. Jefferson Ave.||St. Clair Shores
|MI|48080|2547 E Jefferson Ave||Saint Clair Shores|MI|48080|5867747800|586771070
3|||2012-10-11T18:12:31.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|201311-14T19:41:52.0Z|U|New|v10_6|1447328984|1447328984001||||||||||||||||42.46427|82.89862|N|AM
6279745155001|||||Bayne|David|P|MD||2204-E EXECUTIVE DR||HAMPTON|VA|23666|2204 E
xecutive Dr|Ste E|Hampton|VA|236666602|7578388836|7578388909|||2013-11-14T22:27:
|v10_6|1841288750|1841288750001||||||||||||||||37.05066|-76.39647|Y|AM
6279880093001|||||Ragucci|Enzo||MD||2 Crosfield Avenue|Suite 204|West Nyack|NY|1
23:08:39.0Z|N||v10_6|1205803640|1205803640001||||||||||||||||41.09306|-73.97705|
Y|AM
6279900050001|||EM||Pesekmccoy|Michelle|C|MD|INFINITY HEALTHCARE INC|111 East Wi
sconsin Avenue||MILWAUKEE|WI|53202|111 E Wisconsin Ave|Ste 2100|Milwaukee|WI|532
024809|4142906720|4142906755|||2013-08-25T13:51:40.0Z|2014-11-14T06:00:00.0Z|New
|PreveaTest|2013-11-14T20:04:54.0Z|U|New|v10_6|1265468656|1265468656001|||||||||
|||||||43.03834|-87.90929|Y|AM
6280608285002|||AN||Toomey|Matthew||||West End Anesthesia Group|5855 Bremo Rd, S
-100|Richmond|VA|23226|5855 Bremo Rd|# S-100|Richmond|VA|232261930|8042886258|80
42829921|||2013-11-14T23:33:03.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTe
st|2013-11-14T23:33:03.0Z|N||v10_6|1306911870|1306911870002||||||||||||||||37.58
414|-77.51271|Y|AM
|||||||||40.57671|-111.86159|N|
6281795735001|||ORS||Vanmanen|John||MD||7858 Shrader Road|Advanced Orthopaedic C
enters|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|80427
2013-11-14T22:22:27.0Z|U|New~Refill|v10_6|1720054919|1720054919001||||||||||||||
||37.62635|-77.5264|Y|AM
6282465668001|||||McMeekin|Jennifer|P|NP||612 KINGSBOROUGH SQ|Suite 100|CHESAPEA
KE|VA|23320|612 Kingsborough Sq|Ste 100|Chesapeake|VA|233205041|7575479294|75721
2013-11-14T23:20:26.0Z|N||v10_6|1346574894|1346574894001||||||||||||||||36.73978
|-76.2455|Y|
6282582801001|||||Deutsch|Joseph||MD||8 Medical Park Drive||Pomona|NY|10970|8 Me
_6|1093895872|1093895872001||||||||||||||||41.1682|-74.03251|Y|AM
6282951055001|||||Gorlitsky|Michele||MD||171 Ramapo Road||Garnerville|NY|10923|1
71 Ramapo Rd||Garnerville|NY|109231552|8459471772|8459474487|||2013-11-14T23:00:
|v10_6|1285714048|1285714048001||||||||||||||||41.20087|-73.98957|Y|AM
6283707110001|MT1314121||||TOTH|MIKE LOR|||Mike's 11.2 Test Org|PAIN MGMT W/ EMP
HASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||2
4T17:04:15.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6285242304001|||||Gary|Tishana|L|||111A BERRY AVENUE|NEW HORIZON FAMILY HEALTH|G
REER|SC|29651|111A Berry Ave||Greer|SC|296511307|8648012035|8642333403|||2013-11
5:48.0Z|U|New|v10_6|1275781775|1275781775001||||||||||||||||34.94656|-82.22311|Y
|AM
6286728723001|||||King|Joseph|K|MD||12200 Warwick Blvd.|Suite 510|NEWPORT NEWS|V
A|23601|12200 Warwick Blvd|Ste 510|Newport News|VA|236012548|7575345700|75753457
3-11-14T23:59:59.0Z|N||v10_6|1457303778|1457303778001||||||||||||||||37.06132|-7
6.48617|Y|AM
6287514090001|||N||Corrigan|Laura||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2
ew|v10_6|1588739221|1588739221001||||||||||||||||42.36731|-83.08504|Y|AM
6287712023001|||ORS||Glowacki|Keith|A|MD||7858 Shrader Road|Advanced Orthopaedic
Centers|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|804
t|2013-11-14T22:17:26.0Z|U|New~Refill|v10_6|1285600486|1285600486001||||||||||||
||||37.62635|-77.5264|Y|AM
451285001|||||||||||||||||||
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T05:26:54.0Z|201
n||||||||||AM
6288405900001|||||Pavone|Anthony||DDS||84 Route 59||Suffern|NY|10901|84 Route 59
||Suffern|NY|109014910|8453572070|8453572144|||2013-11-14T23:07:42.0Z|2014-11-14
2|1366538142001||||||||||||||||41.11318|-74.12733|Y|
6288607982001|||R||Beute|Gordon||MD||39450 West 12 Mile Road||NOVI|MI|48377|3945
0 W 12 Mile Rd||Novi|MI|483773600|2486617393|2483444103|||2012-10-11T18:06:50.0Z
|2013-11-14T19:37:33.0Z||HenryFordTest|2013-11-14T19:37:33.0Z|D||v10_6|178075242
8|1780752428001||||||||||||||||42.49805|-83.43774|Y|AM
6288721494001|||||Boucher|Shelli||||521 North 11th Street||Richmond|VA|23298|521
N 11th St||Richmond|VA|232985045|8048283601|8048273379|bouchersa@vcu.edu||201311-14T15:48:22.0Z|2099-12-31T00:00:00.0Z|New~Refill|DrFirstTest|2013-11-14T15:48
:22.0Z|N||v4_0|1356773691|1356773691001||||||||||||||||37.54208|-77.42952|Y|
6289756614001|||N||Spanaki-Varelas|Marianna||MD||2799 W. Grand Blvd.||Detroit|MI
|48202|2799 W Grand Blvd||Detroit|MI|482022608|3139162585|3139163014|||2013-07-2
7T06:35:47.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:44:3
0.0Z|U|New|v10_6|1659446391|1659446391001||||||||||||||||42.36731|-83.08504|Y|AM
6290315368001|||PD||Rajan|Kanthimathi||MD||131 Kercheval Avenue||Grosse Pointe F
arms|MI|48236|131 Kercheval Ave||Grosse Pointe Farms|MI|482363629|3136402540|313
6402253|||2012-10-11T18:13:53.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest
|2013-11-14T19:43:49.0Z|U|New|v10_6|1104973916|1104973916001||||||||||||||||42.3
9628|-82.90211|Y|AM
6291699877002|||||Huang|Diana|Shiao-Yin|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1306166681|1306166681002||||||||||||||||32.81096|-96.83699|Y|
6291718032001|||||Guirao|David|Paul M|MD||Internal Medical Associates|1025 Verda
e Boulevard, SUITE C|Greenville|SC|29607|1025 Verdae Blvd|Ste C|Greenville|SC|29
6074032|8642424683|8642408104|||2013-11-14T22:16:03.0Z|2014-11-14T05:00:00.0Z|Ne
w~Refill|BonSecoursTest|2013-11-14T22:16:03.0Z|N||v10_6|1750463972|1750463972001
||||||||||||||||34.83533|-82.31715|Y|AM
6292381030001|ej7890983|6789009876|||Jackson|Emy|H|I|Anchor Hospital|5454 Yorkto
wne Drive||Atlanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|77055516
17|7705551618|emy.jackson@emids.com||2013-11-14T05:07:20.0Z|2099-12-31T12:00:00.
0Z|New~Refill|GreenwayTest106|2013-11-14T05:07:20.0Z|N||v10_6|9078615432|9078615
432001||||||6789009876||998877660||||||||33.60634|-84.45192|Y|AM
6293142017001|||||Oneil|Elizabeth|Ann|MD||860 OMNI BLVD|TPMG, SUITE 204|NEWPORT
NEWS|VA|23606|860 Omni Blvd||Newport News|VA|236064430|7578741077|7578742393|||2
4T22:39:27.0Z|U|New|v10_6|1225038243|1225038243001||||||||||||||||37.08668|-76.4
6636|Y|AM
6295421443002|||US||RAMASWAMY|RAVI||||110 Crystal Run Road||Middletown|NY|10941|
110 Crystal Run Rd||Middletown|NY|109414040|8456920560|8456920367|||2013-11-14T2
0Z|N||v10_6|1922118215|1922118215002||||||||||||||||41.44918|-74.358|Y|AM
6296019295002|||GP||Sureja|Raj||||250 NAT TURNER BLVD||NEWPORT NEWS|VA|23606|250
Nat Turner Blvd S||Newport News|VA|236062899|7575961900|7575918560|||2013-11-14
7.0Z|N||v10_6|1912967746|1912967746002||||||||||||||||37.08584|-76.48734|Y|AM
6296293049001|||FP||Ballard|Brooke|Nicole|MD||1200 N STATE HIGHWAY 121||MT ZION|
IL|62549|1200 N State Highway 121||Mt Zion|IL|625491224|2178645531|2178642449|||
0:05:06.0Z|U|New|v10_6|1053310557|1053310557001||||||||||||||||39.7839|-88.87001
|Y|AM
6296559902001|||OPH||Goldman|David||MD||15401 East Jefferson Ave.||GROSSE POINTE
PARK|MI|48230|15401 E Jefferson Ave||Grosse Pointe Park|MI|482301328|3138244800
|2488247080|||2012-10-11T18:12:51.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFord
Test|2013-11-14T19:42:13.0Z|U|New|v10_6|1629185467|1629185467001||||||||||||||||
42.37706|-82.93436|Y|AM
6296783783002|||||Glaze|Joanna|N.|RN||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1255495222|1255495222002||||||||||||||||32.81096|-96.83699|Y|
6296895819002|||||LANDAU|ARTHUR||||7 Medical Park Drive|Suite B|Pomona|NY|10970|
7 Medical Park Dr|Ste B|Pomona|NY|109703562|8456384464|8456384509|||2013-11-14T2
0Z|N||v10_6|1376627190|1376627190002||||||||||||||||41.16691|-74.0337|Y|
6297046198001|||||Marsalisi|Patricia||CRNA||20 Squadron Boulevard|255 Lafayette
Avenue|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|84536
2013-11-14T23:25:05.0Z|N||v10_6|1649308875|1649308875001||||||||||||||||41.11199
|-74.13325|Y|
414393001|||||||||||||||||||
414393002|||||||||||||||||||
6298190987001|||PD||Ezhuthachan|Sudhakar||MD||3031 West Grand Blvd.||DETROIT|MI|
48202|3031 W Grand Blvd||Detroit|MI|482023044|3139163146|3139169485|||2012-10-11
T18:07:39.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:38:17
.0Z|U|New|v10_6|1972675676|1972675676001||||||||||||||||42.36992|-83.07618|Y|AM
6298218648001|||||Sarabanchong|Viyada||MD||974 Route 45||Pomona|NY|10970|974 Rou
te 45||Pomona|NY|109703520|8453543700|8453545439|||2013-11-14T23:10:17.0Z|2014-1
46343|1679646343001||||||||||||||||41.1696|-74.03207|Y|AM
6298697171001|||ORS||Brickhouse|William||MD||7858 Shrader Road|Advanced Orthopae
dic Centers|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|
Test|2013-11-14T22:19:20.0Z|U|New~Refill|v10_6|1477529469|1477529469001|||||||||
|||||||37.62635|-77.5264|Y|AM
6299069792001|||||Liu|Zach||MD||255 Lafayette Avenue||Suffern|NY|10901|255 Lafay
ette Ave||Suffern|NY|109014812|8453685179|8453685329|||2013-11-12T20:28:19.0Z|20
6|1134269467|1134269467001||||||||||||||||41.11199|-74.13325|Y|AM
6299289358002|||ORS||LANNIK|DAVID||||5818 D Harbour View Blvd|#105|Suffolk|VA|23
435|5818D Harbour View Blvd|# 105|Suffolk|VA|234352658|7572151400|7572151410|||2
4T22:35:59.0Z|N||v10_6|1700888963|1700888963002||||||||||||||||36.87339|-76.4395
7|Y|AM
6300345462001|||||Zelenko|Vladimir||MD||49 FOREST ROAD||Monroe|NY|10950|49 Fores
t Rd||Monroe|NY|109502923|8457823242|8457836907|||2013-11-14T23:14:52.0Z|2014-11
-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:14:52.0Z|N||v10_6|110480
4715|1104804715001||||||||||||||||41.33945|-74.17085|Y|AM
6300349035002|||||Anene|Alvin|Uchenna|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1043449028|1043449028002||||||||||||||||32.81096|-96.83699|Y|
6303246196001|||||Klein|Mitchell||MD||65 East Main Street||Stony Point|NY|10980|
65 E Main St||Stony Point|NY|109801641|8459420283|8459420389|||2013-11-14T23:02:
|v10_6|1487704573|1487704573001||||||||||||||||41.22907|-73.98365|Y|AM
6303772092001|||||Rader|Michael||MD||160 North Midland Avenue||Nyack|NY|10960|16
0 N Midland Ave||Nyack|NY|109601912|8453482199|8453483073|||2013-11-14T23:08:33.
0_6|1962427294|1962427294001||||||||||||||||41.09593|-73.92606|Y|AM
6303854395003|AC3854711||||HOYLE|DOC|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPHASI
S IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||201309-17T15:23:15.0Z|2096-11-14T17:06:05.0Z|New~MedHistory|MedPlusQA4|2013-11-14T17
:04:17.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6303911898001|||||Mathew|Anna||MD||10 Esquire Road|Suite 6|New City|NY|10956|10
Esquire Rd|Ste 6|New City|NY|109563336|8456342727|8456342882|||2013-11-14T23:05:
|v10_6|1750479499|1750479499001||||||||||||||||41.13687|-73.9927|Y|AM
6304857603002|||||Shah|Nidhi|Rajesh|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1578889143|1578889143002||||||||||||||||32.81096|-96.83699|Y|
6305493515002|||OS|Dr|GORDON|JEFFERSON||III|Anchor Hospital|5454 Yorktowne Drive
|Apt 2|Atlanta|GA|303491111|5454 Yorktowne Dr|Apt 2|Atlanta|GA|303495317|7702581
414|6484144141|||2013-09-26T19:55:26.0Z|2099-12-31T12:00:00.0Z|New~Refill~CIMess
age~CIEvent|GreenwayTest106|2013-11-14T17:56:40.0Z|U|New~CIMessage~CIEvent|v10_6
|1336167816|1336167816002|Doctor|||||||||||taylor.gordon@greenway.direct-ci-cert
.com||CI EDI||33.60634|-84.45192|Y|AM
6306049506001|BA5958749||||Amernath|Lingappa ED|||FSLHC Emergency Dept|12345 TES
T St||ANYTOWN|NY|13413|12345 Test St||New Hartford|NY|13413|3156246000|315624600
1|rjones1@mvnhealth.com||2013-11-14T20:58:19.0Z|2099-12-31T00:00:00.0Z|New|AllSc
ripts106|2013-11-14T20:58:19.0Z|N||v10_6mu2|1962405001|1962405001001||||||||||||
||||43.06815|-75.28444|N|
6306355689001|||||Messino|Michael|J|||21 Hospital Drive|Cancer Care of Western N
orth|Asheville|NC|28801|21 Hospital Dr||Asheville|NC|288014550|8282534262|828213
013-11-14T23:36:40.0Z|U|New|v10_6|1699765529|1699765529001||||||||||||||||35.579
53|-82.55244|Y|AM
6306400832012|BZ4513405|NJ12385||DR.|SMALLWOOD|BRENT|||Mike's 11.2 Test Org|PAIN
MGMT W/ EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Maso
n|OH|45040|5132042340|5137707700|||2011-10-07T18:17:47.0Z|2096-11-14T17:05:44.0Z
|New~Change~MedHistory|MedPlusQA4|2013-11-14T17:03:56.0Z|U|New~Change~MedHistory
|v4_20|5364728456|5364728456012|||||||||||||||||||
6307247364005|||DR||QUINTAS|JOHN||||695 Dutchess Turnpike #105||Poughkeepsie|NY|
12603|695 Dutchess Tpke|Ste 105|Poughkeepsie|NY|126036443|8886475979|8888470818|
1-14T23:08:29.0Z|N||v10_6|1235231051|1235231051005||||||||||||||||41.6988|-73.88
263|Y|AM
6307471634002|||||Chan|Lillienne|Yoon|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1679771117|1679771117002||||||||||||||||32.81096|-96.83699|Y|
160935001|||||||||||||||||||
is|2013-11-14T06:42:49.0Z|D|New|v10_6|1922063562|1922063562001||||||||||||||||29
.47159|-98.60189|Y|
6309575879001|||||Bauer|Kristy||MD||2 Crosfield Avenue|Suite 318|West Nyack|NY|1
22:54:28.0Z|N||v10_6|1952508681|1952508681001||||||||||||||||41.09306|-73.97705|
Y|AM
6310779668001|||||Davizon Castillo|Pavel||MD||5201 HARRY HINES BLVD||DALLAS|TX|7
|U|New|v10_6|1679862841|1679862841001||||||||||||||||32.81096|-96.83699|Y|
6312032579001|||||Farley|Faith|A|||5995 OPUS PKWY., STE||MINNETONKA|MN|55343|599
5 Opus Pkwy||Minnetonka|MN|553438387|9523921100|9529352757|||2013-11-14T23:51:32
10_6|1871578930|1871578930001||||||||||||||||44.89667|-93.40747|Y|AM
6312136578001|||||Kotlyar|Yanina||MD||10 ESQUIRE ROAD||New City|NY|10956|10 Esqu
ire Rd||New City|NY|109563336|8456348800|8456381679|||2013-11-14T23:03:13.0Z|201
96717153|1396717153001||||||||||||||||41.13687|-73.9927|Y|AM
6312386603001|MY1915860||||Young|Wendy|||Geauga|University Hospitals Geauga Medi
cal|13207 Ravenna Road|Chardon|OH|44024|13207 Ravenna Rd||Chardon|OH|440247032|4
402856000|4402856000|Wendy.Young@UHhospitals.org||2013-11-14T16:20:34.0Z|2099-12
-31T00:00:00.0Z|New|AllScripts106|2013-11-14T16:20:34.0Z|N||v10_6mu2|1316022452|
1316022452001||||||||||||||||41.50929|-81.19349|Y|
6312909115001|||||Arshad|Aysha||MD||1790 Broadway|Suite 800|New York|NY|10019|17
90 Broadway|Ste 800|New York|NY|100191412|2124327837|2124327836|||2013-11-14T22:
|N||v10_6|1710964960|1710964960001||||||||||||||||40.76691|-73.98162|Y|AM
6313105127001|||||Kurucz|Stefan||MD||300 North Middletown Road|Suite 11|Pearl Ri
ver|NY|10965|300 N Middletown Rd|Ste 11|Pearl River|NY|109651296|8457354114|8457
|2013-11-14T23:03:45.0Z|N||v10_6|1619038221|1619038221001||||||||||||||||41.0707
4|-74.01276|Y|AM
6313567573001|||||George|Edward|R|MD||5900 Lake Wright Dr|Virginia Oncology Asso
ciates|Norfolk|VA|23502|5900 Lake Wright Dr||Norfolk|VA|235021871|7574668683|757
t|2013-11-14T22:31:49.0Z|U|New|v10_6|1407851256|1407851256001||||||||||||||||36.
87813|-76.205|Y|AM
6314529689001|||||Lakhani|Nisha||MD||445 Route 304||Bardonia|NY|10954|445 Route
304||Bardonia|NY|109541614|8456242929|8456242930|||2013-11-14T23:04:07.0Z|2014-1
58609|1336158609001||||||||||||||||41.11313|-73.99535|Y|AM
6314697056001|||||Shuster|Edward||MD||6 Hastings Road||MONSEY|NY|10952|6 Hasting
s Rd||Monsey|NY|109521311|8453578333|8453544055|||2013-11-14T23:11:38.0Z|2014-11
7231|1760427231001||||||||||||||||41.15261|-74.07993|Y|AM
ame|ACNP|sampleClinicName|" From <"|&' To <'|Allen Park|MI|70000|" From <"||Alle
n Park|MI|70000|8877665544|7766554433|mail@mail.com|8877665544^WP~8877665544^CP~
8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T05:26:49.0Z|2014-02-13T21:2
6:50.0Z|New|AmericanChoice|2013-11-14T05:26:49.0Z|N||v10_6|9926500244|9926500244
001|Doctor|sampleFileID|sampleMedicareNumber|sampleMedicaidNumber|sampleDentistL
icenseNumber|sampleUPIN|samplePPONumber|888888888|sampleAuthorization||||||||||A
M
6316534141001|||||Eisenberg|Sarah||MD||455 Route 306||Wesley Hills|NY|10952|455
Route 306||Monsey|NY|109521209|8453547110|8453547105|||2013-11-14T22:57:48.0Z|20
699959767|1699959767001||||||||||||||||41.15623|-74.07088|Y|AM
6318444752002|||||Sharifi|Nima||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201
Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13T14:47:5
_6|1669636619|1669636619002||||||||||||||||32.81096|-96.83699|Y|
6319311836001|||||Webb|Shannon|C|||2001 E. Blackstock Road|Roebuck Family Practi
ce|Roebuck|SC|29376|2001 E Blackstock Rd||Roebuck|SC|293762734|8645870200|864587
013-11-14T23:35:41.0Z|U|New|v10_6|1144204405|1144204405001||||||||||||||||34.880
57|-81.96673|Y|
6320662532002|||||Kelley|Brian|Dale|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1801087416|1801087416002||||||||||||||||32.81096|-96.83699|Y|
6321725090002|||||Patel|Minesh|Suresh|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1811131089|1811131089002||||||||||||||||32.81096|-96.83699|Y|
6321835657001|||OS||Klotzbuecher|Karl|J|CRNA|ANESTHESIOLOGY ASSOC OF SHEBOYGAN|3
100 Superior Ave||SHEBOYGAN|WI|53081|3100 Superior Ave||Sheboygan|WI|530811948|9
204594736|9204517592|||2013-08-25T13:36:07.0Z|2014-11-14T06:00:00.0Z|New|PreveaT
est|2013-11-14T20:05:20.0Z|U|New|v10_6|1568402097|1568402097001||||||||||||||||4
3.76281|-87.74751|Y|AM
6322294359001|||||Stites|Sarah||NP||Family Practice Associates|13911 St. Francis
Blvd, S-101|Midlothian|VA|23114|13911 St Francis Blvd|# 101|Midlothian|VA|23114
3256|8043203999|8043239383|||2013-11-14T23:15:42.0Z|2014-11-14T05:00:00.0Z|New~R
|||||||||||||37.46639|-77.66217|Y|AM
6322670962001|||||Levine|Donald||MD||75 North Broadway||Nyack|NY|10960|75 N Broa
dway||Nyack|NY|109602624|8453581700|8453584072|||2013-11-14T23:04:43.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:04:43.0Z|N||v10_6|1982788
188|1982788188001||||||||||||||||41.09294|-73.91759|Y|AM
6324140691001|||IM||LARSEN|KEVIN|||HCMC Medicine Clinic|701 Park Ave|# MCP7|Minn
eapolis|MN|554151829|701 Park Ave|# MCP7|Minneapolis|MN|554151829|6128732300|612
9044226|||2008-12-03T17:33:01.0Z|2013-11-14T06:00:00.0Z|New~Refill|HennepinTest|
2013-01-25T21:50:47.0Z|D|New~Refill|v10_6|1871540773|1871540773001||||||||||||||
|||||AM
6326282384001|||||Nasir|Arwa|K|MD|UNMC Gen Peds|989400 NE MED CENTER|CHILDREN'S
CP-UNMC|OMAHA|NE|68198|989400 NE Med Ctr||Omaha|NE|681980001|4029558125|40295581
40|anasir@childrensomaha.org||2013-11-14T19:54:49.0Z|2014-11-14T06:00:00.0Z|New~
Refill|TCHOmahaTest|2013-11-14T19:57:20.0Z|N|New|v10_6|1578513875|1578513875001|
|||||||||||||||41.2549|-95.9758|N|AM
6326752857001|||||Teicher|Elyse||MD||200 Airport Executive Park|Suite 205|Nanuet
|NY|10954|200 Airport Executive Park|Ste 205|Nanuet|NY|109545262|8453563610|8453
|2013-11-14T23:13:20.0Z|N||v10_6|1114908274|1114908274001||||||||||||||||41.1079
9|-74.02779|Y|AM
6326908459001|||||McConnell|Brendan||DPM||4030B GEORGE WASHIN|Suite D|YORKTOWN|V
A|23692|4030B George Washin||Yorktown|VA|23692|7578985500|7578988001|||2013-09-2
53.0Z|U|New|v10_6|1194731042|1194731042001||||||||||||||||37.17256|-76.46387|N|
6328117208002|||||Vu|Peter||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 Harr
y Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13T15:16:28.0Z
|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:25:09.0Z|U|New|v10_6|1
831328814|1831328814002||||||||||||||||32.81096|-96.83699|Y|
6328741569001|||||Grisafi|Patrick||MD||Hemion Road||Suffern|NY|10901|Hemion Road
||Suffern|NY|10901|8453570073|8453570082|||2013-11-14T23:00:23.0Z|2014-11-14T05:
40360486001||||||||||||||||41.12422|-74.10845|N|AM
6329168408001|||||Eapen|Elizabeth||MD||156 Route 59|Suite C-6|Suffern|NY|10901|1
56 Route 59|Ste C6|Suffern|NY|109015010|8453694200|8453685329|||2013-11-14T22:57
||v10_6|1407855216|1407855216001||||||||||||||||41.11416|-74.12025|Y|AM
260671001|||||||||||||||||||
6329385309001|||US||Ahsan|Syed|Mozaffar|MD||24565 Haig||TAYLOR|MI|48180|24565 Ha
ig St||Taylor|MI|481803322|3132917800|3132917420|||2012-10-11T18:10:40.0Z|2014-1
1-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:40:20.0Z|U|New|v10_6|180
1964325|1801964325001||||||||||||||||42.23496|-83.2732|Y|AM
6330500045001|||AN||Tansey|Patrick||NP||SCMOB - STE.101|48 RTE 25A|SMITHTOWN|NY|
11787|48 Route 25A||Smithtown|NY|117871431|6318623540|6318623540|||2012-06-05T14
:28:40.0Z|2014-11-14T05:00:00.0Z|New|CatholicHealthLongIslandtest|2013-11-14T15:
44:00.0Z|U|New|v10_6|1700095940|1700095940001||||||||||||||||40.86693|-73.22038|
Y|AM
6332453243003|||||Delianides|Aris||||1800 KEELINGWOOD LN||VIRGINIA BEACH|VA|2345
4|1800 Keelingwood Ln||Virginia Beach|VA|234541034|7574813800|7573932258|||201311-14T23:48:53.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:48:53.0Z|N||v10_6|1902807449|1902807449003||||||||||||||||36.90018|-76.07287|Y|
6332512089001|||IM||Titesworth|Brian||MD||22777 W. Eleven Mile Road||Southfield|
MI|48034|22777 W 11 Mile Rd||Southfield|MI|480332152|2483865200|2483588658|||201
2-10-11T18:14:16.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T1
9:44:22.0Z|U|New|v10_6|1164590600|1164590600001||||||||||||||||42.48649|-83.2675
|Y|AM
6333044348001|||||Ballard|Karen||DO||257 Lafayette Avenue|Suite 120|Suffern|NY|1
2:54:16.0Z|N||v10_6|1215121264|1215121264001||||||||||||||||41.11222|-74.13531|Y
|AM
6334295378001|||||Holder|Francois|E|MD||704 THIMBLE SHOALS||NEWPORT NEWS|VA|2360
6|704 Thimble Shoals Blvd||Newport News|VA|236064544|7574665934|7574665772|||201
23:56:52.0Z|N||v10_6|1144295288|1144295288001||||||||||||||||37.08461|-76.47468|
Y|AM
6335144831001|||||NQFD|NQFD|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
6.0Z|N||v10_6mu2|2964528295|2964528295001||||||||||||||||30.37025|-97.73773|Y|
6336358901001|||||Davidoff|Alan|B|||5995 OPUS PARKWAY, S||MINNETONKA|MN|55343|59
v10_6|1700862596|1700862596001||||||||||||||||44.89667|-93.40747|Y|AM
6336509570006|AF2439873|||MR.|FULLER|JOHN||MD|Mike's 11.2 Test Org|PAIN MGMT W/
EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|OH|4504
0|5132042340|5137707700|||2012-03-13T14:42:51.0Z|2096-11-14T17:05:45.0Z|New~MedH
istory|MedPlusQA4|2013-11-14T17:03:57.0Z|U|New~MedHistory|v4_20|1212121218|12121
21218006|||||||||||||||||||
6336807758001|||||Havriliak|Damian||MD||2 Executive Boulevard|Suite 400|Suffern|
NY|10901|2 Executive Blvd|Ste 400|Suffern|NY|109018220|8453576202|8453576239|||2
4T23:01:00.0Z|N||v10_6|1720046857|1720046857001||||||||||||||||41.11945|-74.1158
5|Y|AM
6336868941002|||ORS||CAINES|MICHAEL||||5838 Harbour View Blvd|SUITE 100|SUFFOLK|
VA|23435|5838 Harbour View Blvd|Ste 100|Suffolk|VA|234352663|7576735680|75748330
3-11-14T22:28:22.0Z|N||v10_6|1144242298|1144242298002||||||||||||||||36.8718|-76
.44114|Y|AM
6336894038001|||PD||Hua|Wenhui||MD||3031 West Grand Blvd., Suite 800||Detroit|MI
|48202|3031 W Grand Blvd|Ste 800|Detroit|MI|482023141|3139163121|3139167548|||20
19:41:19.0Z|U|New|v10_6|1316094113|1316094113001||||||||||||||||42.36928|-83.076
42|Y|AM
6337870086001|||P||de Carvalho|Carlos|A|MD|PREVEA HEALTH|1821 S Webster Ave||Gre
en Bay|WI|54301|1821 S Webster Ave||Green Bay|WI|543012253|9202721610|9202721620
4T20:05:27.0Z|U|New|v10_6|1588640775|1588640775001||||||||||||||||44.48701|-88.0
1859|Y|AM
6338018172001|||||Trubiano|Paolo||MD||255 Lafayette Avenue|Good Samaritan Hospit
al|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|845368532
-11-14T23:13:35.0Z|U|New|v10_6|1548256225|1548256225001||||||||||||||||41.11199|
-74.13325|Y|AM
6339696471001|||||Delbrook|Donnie|||QA61ACE|2222 Southern Drive||Chapel Hill|NC|

275143244|2222 Southern Drive||Chapel Hill|NC|27514|9195550000|9195555555|davene
.mainwaring@allscripts.com||2013-11-14T19:14:43.0Z|2099-12-31T00:00:00.0Z|New~Re
fill|AllScripts106|2013-11-14T19:14:43.0Z|N||v10_6mu2|1235374109|1235374109001||
||||||||||||||35.93651|-79.03753|N|
6340016396001|||||Pomygalski|Scott||CRNA||Good Samaritan Hospital|255 Lafayette
2013-11-14T23:25:32.0Z|N||v10_6|1811056179|1811056179001||||||||||||||||41.11199
|-74.13325|Y|
6340540205001|||IM||Alsabeh|Rashid|F|MD||6530 Farmington Road||West Bloomfield|M
I|48322|6530 Farmington Rd||West Bloomfield|MI|483223216|2486618240|2486615311||
|2012-10-11T18:14:34.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-1114T19:44:48.0Z|U|New|v10_6|1093788150|1093788150001||||||||||||||||42.5419|-83.3
8104|Y|AM
6340622383001|||||Radojicic|Milan||MD||2500 MOWRY AVE|SUITE 212|FREMONT|CA|94538
|2500 Mowry Ave|Ste 212|Fremont|CA|945381605|5106086174|5107456435|||2013-11-14T
19:03:38.0Z|2014-11-14T08:00:00.0Z|New|WashHospHealthSysTest4x|2013-11-14T19:03:
38.0Z|N||v10_6|1346370137|1346370137001||||||||||||||||37.55547|-121.98107|Y|AM
6342153627001|||||Oshin|Sharon||MD||222 Route 59||Suffern|NY|10901|222 Route 59|
|Suffern|NY|109015204|8453680422|8453683224|||2013-11-14T23:07:19.0Z|2014-11-14T
05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:07:19.0Z|N||v10_6|1497866818
|1497866818001||||||||||||||||41.11288|-74.11188|Y|AM
6342791376001|||||Rogers|Andrew|L|MD||11770 Haynes Bridge Rd|JH CVO Locum Tenens
|Alpharetta|GA|30009|11770 Haynes Bridge Rd||Alpharetta|GA|300091966|7574833030|
Test|2013-11-14T22:46:28.0Z|U|New|v10_6|1376506436|1376506436001||||||||||||||||
34.06938|-84.29382|Y|AM
6342923912001|||||Malmazada|Meir||MD||345 North Main Street|Suite 11|New City|NY
|10956|345 N Main St|Ste 11|New City|NY|109564305|8456394949|8456394979|||2013-1
05:40.0Z|N||v10_6|1669408993|1669408993001||||||||||||||||41.16738|-73.98897|Y|A
M
6343294578002|||||NEWSOM|ROGER||||3235 Academy Ave|Suite 200|PORTSMOUTH|VA|23703
|3235 Academy Ave|Ste 200|Portsmouth|VA|237033200|7574830400|7576860947|||2013-1
39:06.0Z|N||v10_6|1134139975|1134139975002||||||||||||||||36.86236|-76.39709|Y|
6343765684001|||||Reich|Stuart||PA||12A NORTH AIRMONT RD||Suffern|NY|10901|12A N
Airmont Rd||Suffern|NY|109015152|8453541181|8453571144|||2013-11-14T23:25:51.0Z
6|1235129669|1235129669001||||||||||||||||41.11435|-74.11403|Y|
6343910066002|||FP||WOOLLEY|CLAUDIA||||10650 US RT 60||Ashland|KY|41101|10650 US
Route 60||Ashland|KY|411029611|6064086301|6064086350|||2013-11-14T23:31:08.0Z|2
1457364515|1457364515002||||||||||||||||38.40188|-82.71|Y|AM
6344831402002|||GS||Hassan|Hassan|Adnan|||501 Medical Drive|Hampton Roads Gastro
enterology|HAMPTON|VA|23666|501 Medical Dr||Hampton|VA|236666080|7578263434|7578
|2013-11-14T23:55:58.0Z|U|New|v10_6|1154313377|1154313377002||||||||||||||||37.0
5683|-76.38812|Y|AM
6345161643001|||||Smith-Mensah|William||MD||Emergency Services|1000 St. Christop
her Dr. Dr|Ashland|KY|41101|1000 Saint Christopher Dr||Ashland|KY|411017034|6068
333333|6068333333|||2013-11-14T22:51:03.0Z|2014-11-14T05:00:00.0Z|New~Refill|Bon
SecoursTest|2013-11-14T22:51:03.0Z|N||v10_6|1144209925|1144209925001||||||||||||
||||38.50921|-82.69298|Y|AM
6346167979001|||FP||Balmadrid|Luz|L|MD|CMH PRIMARY CARE CLINIC|835 S MAIN STREET
SUITE 1||OCONTO FALLS|WI|54154|835 S Main St|Ste 1|Oconto Falls|WI|541541297|92
08468187|9208462073|||2013-08-19T21:10:37.0Z|2014-11-14T06:00:00.0Z|New~Refill|P
|||||44.86712|-88.12916|Y|AM
6346876322001|||||Demasi|Richard|J|MD||397 Little Neck Road, Suite 120||Virginia

rsTest|2013-11-14T22:30:20.0Z|U|New|v10_6|1619948072|1619948072001||||||||||||||
||36.84283|-76.09177|Y|AM
6348179824001|||N||Zvirbulis|Dace||MD||24555 Haig Road||Taylor|MI|48180|24555 Ha
ig St||Taylor|MI|481803322|3133752000|3133752166|||2013-07-27T09:03:53.0Z|2014-1
1-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:45:49.0Z|U|New|v10_6|118
4825838|1184825838001||||||||||||||||42.2367|-83.27328|Y|AM
6348892491001|SB1234568||||Jackson|Betty||MD|EPCS Testing Clinic|123 CT Street||
New Haven|MA|06902|123 Ct Street||New Salem|MA|06902|2031234567|2031234568|||201
3-10-04T14:35:31.0Z|2015-01-04T14:37:01.0Z|New~Refill~ControlledSubstance|Refill
ManagerEPCS|2013-11-14T18:32:34.0Z|U|New~ControlledSubstance|v10_6|1427054899|14
27054899001||||||||||||||||41.05699|-73.51577|N|
6349271778001|||||Handelsman|Richard||DO||7C Medical Park Drive||Pomona|NY|10970
|7C Medical Park Dr||Pomona|NY|109703575|8453621169|8453622021|||2013-11-14T23:0
N||v10_6|1558444802|1558444802001||||||||||||||||41.16691|-74.0337|Y|AM
6349285687002|||||Newberry|Johnathan|G.|PA-C||5201 HARRY HINES BLVD||DALLAS|TX|7
|U|New|v10_6|1548236227|1548236227002||||||||||||||||32.81096|-96.83699|Y|
6349339510001|||||Barber|Gregory|A|MD||329 Phillip Ave Ste 102||Virginia Beach|V
A|23454|329 Phillip Ave|Ste 102|Virginia Beach|VA|234544461|7574372882|757502880
-11-14T22:27:04.0Z|U|New|v10_6|1013988476|1013988476001||||||||||||||||36.84514|
-76.03575|Y|
6349907231002|||IM||Hazzah|Marwa||MD||15 Maple Ave|St Anthony Community Hospital
|Warwick|NY|10990|15 Maple Ave||Warwick|NY|109901028|8459875022|8459875213|||201
23:01:02.0Z|U|New|v10_6|1891956876|1891956876002||||||||||||||||41.26107|-74.357
39|Y|AM
351700001|||||||||||||||||||
6352464351001|564874952||||Gonzales|Sebastian||||123 Street||Los Angeles|CA|1234
5|123 Street||Los Angeles|CA||3845612323x1256|4568798798|||2011-06-28T19:58:35.0
Z|2099-12-30T06:00:00.0Z|New~Refill~Change~Cancel|Infor-MedTest4.2|2013-11-14T15
:50:03.0Z|U|New~Refill~Change~Cancel|v10_6mu2|1154347557|1154347557001||||||||||
|||||||||
6352829165001|||||Davis|Ann|||BCBS RI|3 Wentworth||Providence|RI|02109|3 Wentwor
th||Providence|RI|02109|2055556935|8885551212|ann.davis@americanwell.com||2013-1
1-14T21:19:04.0Z|2099-12-31T23:59:59.0Z|New|AmWellNo3|2013-11-14T21:25:27.0Z|N|N
ew|v4_20|1821238171|1821238171001||||||||||||||||42.35998|-71.05478|N|
6355491898003|||IM||Selvaraj|Sundararajan||MD||255 Lafayette Avenue|Good Samarit
an Hospital|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685983|
Test|2013-11-14T23:10:49.0Z|U|New|v10_6|1891956207|1891956207003||||||||||||||||
41.11199|-74.13325|Y|AM
6356686009001|||OS||Jacobs|Lori|Jean|NP|PREVEA HEALTH|835 S VAN BUREN STREET||GR
EEN BAY|WI|54301|835 S Van Buren St|# 2|Green Bay|WI|543013526|9204330111|920433
0:05:48.0Z|U|New|v10_6|1386664613|1386664613001||||||||||||||||44.50115|-88.0122
9|Y|AM
6356867765002|||GP||Jensen|Beth||||3000 COLISEM DR #200||HAMPTON|VA|23666|3000 C
oliseum Dr|Ste 200|Hampton|VA|236665963|7575996117|7575990215|||2013-11-14T23:58
||v10_6|1902871296|1902871296002||||||||||||||||37.05569|-76.39016|Y|AM
6357614331001|||OBG||Capili|Albert|L.|DO||2825 Livernois||TROY|MI|48083|2825 Liv
ernois Rd||Troy|MI|480831214|2486806088|2486806089|||2012-10-11T18:09:03.0Z|2014
-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:39:20.0Z|U|New|v10_6|1
992872360|1992872360001||||||||||||||||42.56009|-83.14866|Y|AM
6358056698001|||||Sutton|Joseph||MD||222 Route 59||Suffern|NY|10901|222 Route 59
||Suffern|NY|109015204|8453571821|8453571875|||2013-11-14T23:13:09.0Z|2014-11-14
1|1295715571001||||||||||||||||41.11288|-74.11188|Y|AM
6358366402001|||||Goldstein|Arthur||MD||400 Route 59||Monsey|NY|10952|400 Route
59||Airmont|NY|109523429|8453574430|8453572892|||2013-11-14T22:59:39.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:59:40.0Z|N||v10_6|1417965
658|1417965658001||||||||||||||||41.11053|-74.09134|Y|AM
6358952284001||345678|||UpdateLastName|Testy|||Test Clinic Name|123 Somewhere Ln
.|Suite 27|Sandy|UT|84094|123 Somewhere Ln.||Sandy|UT|84094|8015555555|801555555
6|test@advancedmd.com||2013-03-07T21:26:18.0Z|2099-12-31T00:00:00.0Z|New|Advance
dMDTest|2013-11-14T22:12:07.0Z|U|New|v10_6|2322207244|2322207244001|PA||||||||||
|||||40.57666|-111.86159|N|
6358980392002|||US||GORENSTEIN|LYALL||||5A Medical Park Drive||Pomona|NY|10970|5
A Medical Park Dr||Pomona|NY|109703516|8453620075|8453621716|||2013-11-14T23:00:
|v10_6|1770580565|1770580565002||||||||||||||||41.16659|-74.03187|Y|AM
6359400929001|||OTO||Jones|Lamont||MD||19401 Hubbard Drive||Dearborn|MI|48126|19
w|v10_6|1033235635|1033235635001||||||||||||||||42.31962|-83.22818|Y|AM
6360875267001|||EM||Costa Fazzi|Marco|A|MD|COMMUNITY MEMORIAL HOSPITAL|835 S Mai
n St||Oconto Falls|WI|54154|835 S Main St|Ste 1|Oconto Falls|WI|541541282|920846
3440|9208462010|||2013-08-25T13:25:38.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2
013-11-14T20:05:53.0Z|U|New|v10_6|1528011301|1528011301001||||||||||||||||44.867
02|-88.12917|Y|AM
6360920121001|||||Nathwani|Niyati||||2403 CHARLOTTE HIGHWAY||LANCASTER|SC|29720|
2403 Charlotte Hwy||Lancaster|SC|297208793|8032869696|8032868162|||2013-11-14T23
Z|N||v10_6|1730200031|1730200031001||||||||||||||||34.77221|-80.79049|Y|AM
6361125142002|||||Singel|Stina||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201
_6|1518141852|1518141852002||||||||||||||||32.81096|-96.83699|Y|
6362805262001|||||Simpson|Brian||DMD||113 North Middletown Road||Nanuet|NY|10954
|113 N Middletown Rd||Nanuet|NY|109541929|8456233497|8456234039|||2013-11-14T23:
|N||v10_6|1326074808|1326074808001||||||||||||||||41.10493|-74.01035|Y|
is|2013-11-14T06:43:25.0Z|D|New|v10_6|1922063559|1922063559001||||||||||||||||29
.47159|-98.60189|Y|
6363210910001|||||Patel|Prakash||MD||255 Lafayette Avenue|Good Samaritan Hospita
6364289564001|||||Zaatreh|Megdad||MD||257 Lafayette Avenue|Suite 360|Suffern|NY|
23:14:49.0Z|N||v10_6|1285719591|1285719591001||||||||||||||||41.11222|-74.13531|
Y|AM
6366253329001|||||Bertoli|Vincent||MD|iSALUS Medicine and Wellness|2399 Route 34
Bldg A5||Manasquan|NJ|08736|2399 Highway 34|Bldg A5|Manasquan|NJ|087361500|7325
556666|7325557777|||2013-10-14T14:57:43.0Z|2063-10-21T20:30:55.0Z|New~Refill|MOS
TTest106|2013-11-14T23:00:14.0Z|U|New|v10_6mu2|1205806015|1205806015001|Doctor||
|||||||||||||40.12565|-74.08384|Y|
6368000009001|||||Becker|Alfred||MD||222 Route 59||Suffern|NY|10901|222 Route 59
||Suffern|NY|109015204|8453576464|8453578353|||2013-11-14T22:54:33.0Z|2014-11-14
5|1649271255001||||||||||||||||41.11288|-74.11188|Y|AM
6368306463002|||||Mann|Merry|Lynn|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1043535693|1043535693002||||||||||||||||32.81096|-96.83699|Y|
6370005913001|||||Kump|Cyrus|S|MD||7858 Shrader Road|Advanced Orthopaedics Cente
r|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|8042739294
6370522297001|||PD||Pham|Jennifer|L|MD||982055 NE MED CENTER|PEDIATRICS|OMAHA|NE
|68198|982055 NE Med Ctr||Omaha|NE|681980001|4025595380|4025597929|||2013-01-28T
19:10:07.0Z|2014-03-20T05:00:00.0Z|New|TCHOmahaTest10dot6|2013-11-14T18:36:30.0Z
|U|New|v10_6|1245527043|1245527043001||||||||||||||||41.2549|-95.9758|N|AM
6370903638002|||GP||Jones|Eric|L|MD||1040 University Blvd|Tri-Cities Medical Ass
oc, Ste 205|Portsmouth|VA|23703|1040 University Blvd||Portsmouth|VA|237032650|75
77381880|7577381890|ericjones4121@aol.com||2013-11-12T20:35:30.0Z|2014-11-14T05:
00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:58:41.0Z|U|New|v10_6|1265462568
|1265462568002||||||||||||||||36.86964|-76.41613|Y|AM
6370928346001|||||Boylan|Laura||MD||257 Lafayette Ave.|Suite 330|Suffern|NY|1090
1|257 Lafayette Ave|Ste 330|Suffern|NY|109014831|8453688808|8453685608|||2013-11
5:48.0Z|N||v10_6|1225057003|1225057003001||||||||||||||||41.11222|-74.13531|Y|AM
6371095541002|||||Evans|Amanda|Suarez|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1891991295|1891991295002||||||||||||||||32.81096|-96.83699|Y|
6371597421002|||GP||Desai|Maulin||||3432 Holland Rd||Virginia Beach|VA|23452|343
2 Holland Rd||Virginia Beach|VA|234524846|7574681855|7574684441|||2013-11-14T23:
|N||v10_6|1326012113|1326012113002||||||||||||||||36.80828|-76.09119|Y|AM
6373052599002|||P||Byran|Curtis||||505 Washington St|Suite 200|Portsmouth|VA|237
04|505 Washington St|Ste 200|Portsmouth|VA|237043528|7573938223|7573935345|||201
23:44:35.0Z|N||v10_6|1427050087|1427050087002||||||||||||||||36.83517|-76.30376|
Y|AM
6373082612001|||||Hasbuhlina|Layla||CRNA||13710 St Francis Boulevard||Midlothian
|VA|23114|13710 St Francis Blvd||Midlothian|VA|231143267|8045942622|8045940915||
-14T23:32:23.0Z|N||v10_6|1285810382|1285810382001||||||||||||||||37.46687|-77.65
876|Y|
6373906182001|||FP||Vemulapalli|Raghavendra||MD||3370 East Jefferson||Detroit|MI
|48207|3370 E Jefferson Ave||Detroit|MI|482074236|3136561600|3136561610|||2012-1
1:15.0Z|U|New|v10_6|1497829915|1497829915001||||||||||||||||42.34214|-83.01322|Y
|AM
6374926330001|||||Barwari|Iwaz|M.|PA-C||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
11:09.0Z|2013-11-14T11:28:08.0Z||ParklandTest4.2|2013-11-14T11:28:08.0Z|D||v10_6
|1184875635|1184875635001||||||||||||||||32.81096|-96.83699|Y|
6375660019001|||||Gatta|Carmen||DMD||79 Route 59|Suite 1|Suffern|NY|10901|79 Rou
te 59|Ste 1|Suffern|NY|109014900|8453681677|8453688655|||2013-11-14T22:59:04.0Z|
|1730230269|1730230269001||||||||||||||||41.1122|-74.12835|Y|
6375859918001|||US||McKay|Ethelia|A|NP||SCMOB - STE. 101|48 RTE 25A|SMITHTOWN|NY
|11787|48 Route 25A||Smithtown|NY|117871431|6318623540|6318623604|||2012-06-05T1
4:29:48.0Z|2014-11-14T05:00:00.0Z|New|CatholicHealthLongIslandtest|2013-11-14T15
:44:02.0Z|U|New|v10_6|1487699054|1487699054001||||||||||||||||40.86693|-73.22038
|Y|AM
6376414259001|||||Valow-Picarello|Lisa||MD||971 Route 45|Suite 204|Pomona|NY|109
70|971 Route 45|Ste 204|Pomona|NY|109703530|8452621230|8452621347|||2013-11-14T2
0Z|N||v10_6|1215987862|1215987862001||||||||||||||||41.16937|-74.03418|Y|AM
6376898188002|||FP||Fee|Eric||||7924 Chesapeake Blvd||Norfolk|VA|23518|7924 Ches
apeake Blvd||Norfolk|VA|235183801|7575870157|7575870074|||2013-11-14T23:51:36.0Z
6|1255322178|1255322178002||||||||||||||||36.91631|-76.24097|Y|AM
6377307353002|||FP||Afsharchi|Foroozan||||20209 Sentara Way|Suite 200|Carrollton
|VA|23314|20209 Sentara Way|Ste 200|Carrollton|VA|233143574|7575422070|757510936
-11-14T23:39:19.0Z|N||v10_6|0170087202|0170087202002||||||||||||||||36.94887|-76
.5383|N|AM
6377394716001|||ON||Wollner|Ira||MD||2799 West Grand Blvd.||Detroit|MI|48202|279
|v10_6|1326116864|1326116864001||||||||||||||||42.36731|-83.08504|Y|AM
6377708477002|||||Kakkanatt|Anand||MD||255 Lafayette Avenue|Good Samaritan Hospi
tal|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685196|84536854
3-11-14T23:02:17.0Z|U|New|v10_6|1669532933|1669532933002||||||||||||||||41.11199
|-74.13325|Y|AM
6377874683002|||AS||MOORE|MICHAEL|||Children's Physicians - Dundee|4825 Dodge St
|Children's Physicians-Dundee|OMAHA|NE|68132|4825 Dodge St||Omaha|NE|681323110|4
029557676|4029557679|mmoore@childrensomaha.org||2013-11-05T20:35:28.0Z|2014-11-0
5T06:00:00.0Z|New~Refill|TCHOmahaTest10dot6|2013-11-14T19:18:14.0Z|U|New|v10_6|1
235240185|1235240185002||||||||||||||||41.2596|-95.98601|Y|AM
6379431631001|||||Demo|Surescript||||121 Apt Douglas road||Bethesda|MD|20187|121
Apt Douglas Road||Bethesda|MD|20187|8965321456|9654238562|||2012-03-12T07:23:30
.0Z|2021-04-21T04:00:00.0Z|New~Refill|Claimat106|2013-11-14T17:13:45.0Z|U|New~Re
fill|v10_6mu2|7896536548|7896536548001||||||||||||||||38.72781|-77.75331|N|
6380852528002|||||Butler|Gordon|Marion|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1477752681|1477752681002||||||||||||||||32.81096|-96.83699|Y|
6381938631001|||N||Hefzy|Hebah||MD||6777 West Maple Road||WEST BLOOMFIELD|MI|483
22|6777 W Maple Rd||West Bloomfield|MI|483223013|2486616466|2486616442|||2012-10
-11T18:13:29.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42
:57.0Z|U|New|v10_6|1144415035|1144415035001||||||||||||||||42.53865|-83.40706|Y|
AM
6382574922001|||||Fishkind|Deborah||MD||255 Lafayette Avenue|Good Samaritan Hosp
13-11-14T22:58:28.0Z|U|New|v10_6|1225087950|1225087950001||||||||||||||||41.1119
9|-74.13325|Y|AM
6383777219002|||OBG||Hurt|Leslie||||401 Oyster Point Rd|Suite A|NEWPORT NEWS|VA|
23602|401 Oyster Point Rd|Ste A|Newport News|VA|236026926|7572493000|7572694424|
1-14T23:57:37.0Z|N||v10_6|1194780254|1194780254002||||||||||||||||37.10612|-76.5
0814|Y|AM
6385030460001|||||Feldmann|Mark|E|MD||1250 E Marshall Street|P O Box 980154|Rich
mond|VA|23298|1250 E Marshall St||Richmond|VA|232985051|8046486100|7573886105|||
77|Y|
6385381481001|||||NQFG|NQFG|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
4.0Z|N||v10_6mu2|2439809551|2439809551001||||||||||||||||30.37025|-97.73773|Y|
6385639052001|||||Cohen|Zev||MD||259 North Middletown Road||Nanuet|NY|10946|259
N Middletown Rd||Nanuet|NY|109541220|8456247200|8456243304|||2013-11-14T22:56:42
10_6|1881732758|1881732758001||||||||||||||||41.11479|-74.01048|Y|AM
6385685303001|||||Cooter|Michael|S|MD||200 Patewood Drive B-400||Greenville|SC|2
9615|200 Patewood Dr|# B400|Greenville|SC|296153593|8644544368|8642419232|||2013
2:13:59.0Z|U|New|v10_6|1326094046|1326094046001||||||||||||||||34.85436|-82.3246
4|Y|AM
6386499035001|||AS||Calderon|Cicero|M|MD|Children's Physicians - Mission Vil|169
09 Q Street|Children's Physicians - Mission Vil|OMAHA|NE|68135|16909 Q St||Omaha
|NE|681351521|4029557575|4029557555|ccalderon@childrensomaha.org||2010-11-15T21:
15:35.0Z|2014-11-14T06:00:00.0Z|New~Refill|TCHOmahaTest|2013-11-14T19:57:10.0Z|U
|New~Refill|v10_6|1023113313|1023113313001||||||||||||||||41.20482|-96.17941|Y|A
M
6387349304001|||||Erdman|Mark||DPM||1336 Alverser Plaza|Earnest Foot and Ankle S
pecialists|Midlothian|VA|23113|1336 Alverser Plz||Midlothian|VA|231132604|804594
coursTest|2013-11-14T22:20:11.0Z|U|New~Refill|v10_6|1164534665|1164534665001||||
||||||||||||37.51061|-77.61623|Y|
6388912597001|||||Hurst|Stephen||MD||134 Route 59||Suffern|NY|10901|134 Route 59
||Suffern|NY|109014917|8453578118|8453570101|||2013-11-14T23:01:38.0Z|2014-11-14
0|1568473700001||||||||||||||||41.11367|-74.12251|Y|AM
6389100242001|||PD||Kumar|Savitri||MD||3031 West Grand Blvd.||DETROIT|MI|48202|3
ew|v10_6|1689721490|1689721490001||||||||||||||||42.36992|-83.07618|Y|AM
6389491708001|||||Darby|Eric|C|MD||860 OMNI BLVD.|Ste 107|NEWPORT NEWS|VA|23606|
860 Omni Blvd|Ste 107|Newport News|VA|236064430|7578732562|7578732570|||2013-1114T22:30:06.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:30
:06.0Z|N||v10_6|1104822865|1104822865001||||||||||||||||37.08846|-76.46537|Y|AM
6390491192002|||||BARILETTI|VALERIO||||156 Route 59|Unit B2|Suffern|NY|10901|156
Route 59|Ste B2|Suffern|NY|109015014|8453578660|8453579170|||2013-11-14T22:54:2
v10_6|1154323780|1154323780002||||||||||||||||41.11416|-74.12025|Y|
6390763996001|||||Toevs|Christine|C|MD||11770 Haynes Bridge Road|LocumTenens|Alp
haretta|GA|30009|11770 Haynes Bridge Rd||Alpharetta|GA|300091966|8666191624|7706
|2013-11-14T22:46:00.0Z|U|New|v10_6|1972693679|1972693679001||||||||||||||||34.0
6938|-84.29382|Y|AM
6391030759001|||||Sydnor|Calvin||DPM||1618 Hardy Cash Drive|Ambulatory Foot & An
kle Ctr|Hampton|VA|23666|1618 Hardy Cash Dr||Hampton|VA|236662400|7578255783|757
t|2013-11-14T22:35:06.0Z|U|New|v10_6|1477510840|1477510840001||||||||||||||||37.
05731|-76.40129|Y|
6392150911001|||||Lambert-Derario|Lori||NP||2 CORPORATE DRIVE||CENTRAL VALLEY|NY
|10917|2 Corporate Dr||Central Valley|NY|109174006|8459282544|8459283121|||201311-14T23:24:42.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:24:42.0Z|N||v10_6|1710999651|1710999651001||||||||||||||||41.3213|-74.12485|Y|
6392954239002|||||Allred|Anna|Marie|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1639378920|1639378920002||||||||||||||||32.81096|-96.83699|Y|
6393209104001|||||Kushnir|Seymour||MD||Frawley Outpatient||Suffern|NY|10901|Fraw
ley Outpatient||Suffern|NY|10901|8453685222|8453685322|||2013-11-14T23:03:52.0Z|
|1689747677|1689747677001||||||||||||||||41.12422|-74.10845|N|AM
6393968824002|||IM||Kumar|Priesh|I|MD||3636 High Street|Team Health|Portsmouth|V

A|23707|3636 High St||Portsmouth|VA|237073236|7573982427|7573982162|||2013-11-12
1.0Z|U|New|v10_6|1770524431|1770524431002||||||||||||||||36.83694|-76.34796|Y|AM
6394204872001|||||Nossoughi|Akbar||MD||152 Lafayette Avenue||Suffern|NY|10901|15
2 Lafayette Ave||Suffern|NY|109014710|8453575490|8453574465|||2013-11-14T23:07:0
v10_6|1619018884|1619018884001||||||||||||||||41.11546|-74.14504|Y|AM
6395221941001|||||NQFC|NQFC|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
2.0Z|N||v10_6mu2|2596899262|2596899262001||||||||||||||||30.37025|-97.73773|Y|
6396330352001|||||Lubeskie|Andrew||PA||Highmount Medical Building|257 Lafayette
2013-11-14T23:24:56.0Z|N||v10_6|1225221146|1225221146001||||||||||||||||41.11222
|-74.13531|Y|
6397310981001|||EM||Rupp|Mary|K|MD|ST VINCENT HOSPITAL|835 S VAN BUREN ST||GREEN
BAY|WI|54301|835 S Van Buren St||Green Bay|WI|543013575|9204330111|9204313158||
|2013-10-18T20:38:49.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2013-11-14T20:06:1
7.0Z|U|New|v10_6|1407077282|1407077282001||||||||||||||||44.50139|-88.0129|Y|AM
6397803498003|||||LAUER|SIMEON||||Route 45, Northside Plaza|Suite 1|Pomona|NY|10
970|Route 45, Northside Plaza||Pomona|NY|10970|8453627706|2127342682|||2013-11-1
22.0Z|N||v10_6|1790894723|1790894723003||||||||||||||||41.1845|-74.04433|N|
6398123482002|||||LEIBOWITZ|KEITH||||860 OMNI BLVD. #301A||NEWPORT NEWS|VA|23606
|860 Omni Blvd|Ste 301A|Newport News|VA|236064477|7572402700|7572402701|||2013-1
36:14.0Z|N||v10_6|1083689335|1083689335002||||||||||||||||37.08668|-76.46636|Y|
6398705353001|||||Kramer|R|Keith|MD||2050 Meadowview Parkway||KINGSPORT|TN|37660
|2050 Meadowview Pkwy||Kingsport|TN|376607475|4232305000|4233906304|||2013-11-11
T18:01:14.0Z|2014-11-14T05:00:00.0Z|New~Refill|Wellmont10.6|2013-11-14T07:00:10.
0Z|U|New|v10_6|1346285467|1346285467001||||||||||||||||36.5067|-82.5728|Y|AM
6399133076001|||OTO||Crane|Richard|Turne|MD|WESTERN WI ENT|2119 HEIGHTS DRIVE||E
AU CLAIRE|WI|54701|2119 Heights Dr||Eau Claire|WI|547016130|7158310289|715831472
2|||2013-08-22T18:51:55.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2013-11-14T20:0
6:23.0Z|U|New|v10_6|1699846964|1699846964001||||||||||||||||44.79632|-91.51447|Y
|AM
6399680654001|||FP||Yeatts|Donald||MD||13911 St. Francis Blvd, S-101|Family Prac
tice Associates|Midlothian|VA|23114|13911 St Francis Blvd|# 101|Midlothian|VA|23
1143256|8043203999|8043239383|||2012-03-07T00:44:38.0Z|2014-11-14T05:00:00.0Z|Ne
w~Refill|BonSecoursTest|2013-11-14T22:22:14.0Z|U|New~Refill|v10_6|1114959392|111
4959392001||||||||||||||||37.46639|-77.66217|Y|AM
6400623313001|||||Miller|Dena||MD||695 Dutchess Turnpike #105||Poughkeepsie|NY|1
2603|695 Dutchess Tpke|Ste 105|Poughkeepsie|NY|126036443|8886475979|8888470818||
-14T23:06:18.0Z|N||v10_6|1053351064|1053351064001||||||||||||||||41.6988|-73.882
63|Y|AM
6400632934001|BP0479724||||Abburu|Rajitha|||rajitha dev practice|test address|te
st|test|MD|20171|Test Address||Herndon|VA|20171|7038802980|5674564567|abrajitha8
56785678@gmail.com||2013-11-14T17:48:26.0Z|2099-12-31T05:00:00.0Z|New~Refill|DrF
irstWW0Test4x|2013-11-14T17:48:27.0Z|N||v4_20|1831191105|1831191105001||||||||||
||||||38.92928|-77.40543|N|
6403595633001|CMR234567||AS||Rathman|Chris||||3330 Keller Springs||Carrolton|TX|
75006|3330 Keller Springs Rd||Carrollton|TX|750065058|2144663542|2144663542|||20
08-03-11T21:23:41.0Z|2099-11-11T16:51:42.0Z|New~Refill|iMedicaTest106|2013-11-14
T23:46:41.0Z|U|New~Refill~MedHistory|v10_6mu2|6403595633|6403595633001|Resident|
fileid123||||UPIN1234|PPO1234|||||||||32.96836|-96.84321|Y|AM
6403595633003|CMR123456||AS||Rathman|Chris||||3330 Keller Springs||Carrolton|TX|
75006|3330 Keller Springs Rd||Carrollton|TX|750065058|2144663542|2144663542||972
6908882^BN|2013-01-25T14:47:47.0Z|2099-12-30T06:00:00.0Z|New|iMedicaTest106|2013
-11-14T23:46:44.0Z|U|New~MedHistory|v10_6mu2|1234567893|1234567893003|PA|fileid1
23456||||UPIN12345|PPO123456|||||||||32.96836|-96.84321|Y|AM
6403595633008|||AS||Rathman|Chris||||3330 Keller Springs||Carrolton|TX|75006|333
0 Keller Springs Rd||Carrollton|TX|750065058|2144663542|2144663542||9726908882^B
N|2013-11-11T21:53:29.0Z|2099-12-31T00:00:00.0Z|New|iMedicaTest106|2013-11-14T23
:46:48.0Z|U|New~MedHistory|v10_6mu2|1234567893|1234567893008||fileid123456||||UP
IN12345|PPO123456|||||||||32.96836|-96.84321|Y|AM
6403972444001|||||Grinberg|Daniel||MD||1 Crosfield Avenue|Suite 201|West Nyack|N
3|Y|AM
6405106397004|||||Hertford|Douglas||MD||255 Lafayette Avenue|Good Samaritan Hosp
13-11-14T23:01:16.0Z|U|New|v10_6|1376626580|1376626580004||||||||||||||||41.1119
9|-74.13325|Y|AM
6406556616001|||||Korngold|Louis||MD||125 South Main Street||New City|NY|10956|1
25 S Main St||New City|NY|109563501|8456344554|8456391959|||2013-11-14T23:03:07.
0_6|1881745164|1881745164001||||||||||||||||41.14303|-73.99062|Y|AM
6408042086001|||N||Constantinou|Jules||MD||6777 West Maple Road||West Bloomfield
|MI|48322|6777 W Maple Rd||West Bloomfield|MI|483223013|2486616466|2486616442|||
4T19:43:45.0Z|U|New|v10_6|1932277746|1932277746001||||||||||||||||42.53865|-83.4
0706|Y|AM
6409286583001|||||Levitt|Lawrence||MD||Good Samaritan Hospital|Frawley OP Clinic
|Suffern|NY|10901|Good Samaritan Hospital||Suffern|NY|10901|8453685222|845368532
-11-14T23:04:51.0Z|N||v10_6|1780799486|1780799486001||||||||||||||||41.12422|-74
.10845|N|AM
6409593913001|BR5555555|||Doctor|RxNorm|Doctor|RxNorm|MD|Boca LA Capitol Hospita
l|123 Easy Street|Suite 240|Boston|MA|10409|123 Easy Street||Boston|MA|10409|808
5551278|9192078564|prescriber1@prescribermail.com||2013-05-02T19:05:18.0Z|2063-1
1-14T16:32:43.0Z|New~Refill~ControlledSubstance|Toptec2|2013-11-14T16:32:47.0Z|U
|New~ControlledSubstance|v10_6mu2|1234567893|1234567893001|||||||||||||||||||
6409897348001|||||Bundy|Joel|T|MD||1228 Progressive Drive, Ste. 101||Chesapeake|
VA|23320|1228 Progressive Dr|Ste 101|Chesapeake|VA|233202846|7576230005|75741073
3-11-14T22:28:12.0Z|U|New|v10_6|1932105517|1932105517001||||||||||||||||36.76622
|-76.23024|Y|AM
6410473642002|||US||STEWART|TODD||||2 Crosfield Avenue|Suite 302|West Nyack|NY|1
23:12:43.0Z|N||v10_6|1306865860|1306865860002||||||||||||||||41.09306|-73.97705|
Y|AM
6410733581002|||IM||RAIU|CAMELIA||||2115 EXECUTIVE DRIVE||HAMPTON|VA|23666|2115
Executive Dr||Hampton|VA|236662499|7572234992|7572235350|||2013-11-14T22:40:52.0
_6|1851397343|1851397343002||||||||||||||||37.04764|-76.39806|Y|AM
134298001|||||||||||||||||||
6414993314001|||||Grenga|Tad|E|MD||5818 HARBOUR VIEW BL||SUFFOLK|VA|23435|5818 H
arbour View Blvd||Suffolk|VA|234353315|7576735900|7576735905|||2013-11-14T22:32:
|v10_6|1124009253|1124009253001||||||||||||||||36.86889|-76.4414|Y|AM
6415548745001|||IM||Port|John|E|MD||611 Watkins Center Parkway|Suite 250, IME of
Chesterfield|Midlothian|VA|23114|611 Watkins Centre Pkwy|Ste 250|Midlothian|VA|

231144404|8044238470|8044238471|||2008-12-12T22:56:56.0Z|2014-11-14T05:00:00.0Z|
New~Refill|BonSecoursTest|2013-11-14T22:23:17.0Z|U|New~Refill|v10_6|1912936154|1
912936154001||||||||||||||||37.48437|-77.64672|N|AM
6415728206003|||||BECKER|BRUCE||||907 MEDICAL TOWER||NORFOLK|VA|23507|907 Medica
l Tower||Norfolk|VA|23507|7576277301|7576276238|||2013-11-14T23:41:50.0Z|2014-11
7227|1326037227003||||||||||||||||36.8635|-76.3003|N|
6415810806002|||OTO||Baker|Gregory||||613 23RD ST|STE 420, PLAZA B|ASHLAND|KY|41
101|613 23rd St||Ashland|KY|411012878|6063242600|6063242606|||2013-11-14T22:48:1
v10_6|1205929155|1205929155002||||||||||||||||38.47124|-82.63295|Y|AM
6415834426001|||IM||Tosch|Jon||MD||14500 Hall Road||Sterling Heights|MI|48313|14
500 Hall Rd||Sterling Heights|MI|483131229|5862472700|5862472691|||2012-10-11T18
:15:37.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:45:54.0Z
|U|New|v10_6|1881802437|1881802437001||||||||||||||||42.62616|-82.98118|Y|AM
6416427691001|||||Cowart|J|David|MD||325 medical parkway|Greer OB/GYN, suite 100
|Greer|SC|29651|325 Medical Pkwy||Greer|SC|296502457|8647979200|8647979245|||201
22:15:29.0Z|U|New|v10_6|1578507877|1578507877001||||||||||||||||34.92002|-82.243
5|Y|AM
6416793399001|||||Fiore|Steven||MD||7858 Shrader Road|Advanced Orthopaedic Cente
rs|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|804273929
-11-14T22:17:29.0Z|U|New|v10_6|1609844216|1609844216001||||||||||||||||37.62635|
-77.5264|Y|AM
6418112275001|AJ6125341|||Dr.|Provider|Gone||||1004 Healthcare Drive||Portland|O
R|97005|1004 Healthcare Drive||Portland|OR|97005|5565561212|5565561313|||2013-11
-14T23:40:17.0Z|2099-12-31T00:00:00.0Z|New~Refill|CareCloud|2013-11-14T23:40:18.
0Z|N||v10_6|1619230547|1619230547001||||||||||||||||45.48616|-122.79713|N|
6419273704001|||||Menitove|Stephen||MD||2 Crosfield Avenue||West Nyack|NY|10994|
2 Crosfield Ave||West Nyack|NY|109942226|8453535600|8453535668|||2013-11-14T23:0
N||v10_6|1497740815|1497740815001||||||||||||||||41.09306|-73.97705|Y|AM
6419739680001|987654321|sampleStateLicenseNumber|AS|sample|LastTest|FirstTest|sa
mpleMiddleName|ACNP|sampleClinicName|THT Street|sampleAddressLine2|Allen Park|MI
|70000|Tht Street||Allen Park|MI|70000|8877665544|7766554433|mail@mail.com|88776
65544^WP~8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2012-04-20T04:5
1:32.0Z|2014-02-14T04:48:35.0Z|New|AmericanChoice|2013-11-14T12:47:48.0Z|U|New|v
10_6|9948358463|9948358463001|Doctor|sampleFileID|sampleMedicareNumber|sampleMed
icaidNumber|sampleDentistLicenseNumber|sampleUPIN|samplePPONumber|888888888|samp
leAuthorization||||||||||AM
6420154828002|||OBG||Obayuwana|Alphonsus|O|MD||4057 Taylor Road, Suite R|Western
Branch OB/ GYN|Chesapeake|VA|23321|4057 Taylor Rd|Ste R|Chesapeake|VA|233215527
|7574842272|7574844933|||2013-11-12T20:09:13.0Z|2014-11-14T05:00:00.0Z|New|BonSe
|||||36.86175|-76.40437|Y|AM
6420472040001|AM2541781||||PROV|BHARATI|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPH
ASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||20
T17:04:19.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6420604384027|||||Albert|Mark|||Happy Hospital|777 Six Forks Road||Raleigh|NC|27
615|777 E Six Forks Rd||Raleigh|NC|276097831|9193297777|9193291113|||2013-10-08T
07:58:40.0Z|2099-12-31T00:00:00.0Z|New|AllScripts106|2013-11-14T09:14:19.0Z|U|Ne
w|v10_6mu2|3121167894|3121167894027||||||||||||||||35.81867|-78.62072|Y|
6420851563001|||||Stern|Ronald||MD||18 Thiells Mount Ivy Road||Pomona|NY|10970|1
8 Thiells Mount Ivy Rd||Pomona|NY|109703020|8453547957|8453548034|||2013-11-14T2
0Z|N||v10_6|1659397651|1659397651001||||||||||||||||41.19122|-74.03676|Y|AM
6421273528001|||||Secrete|Susan|R|NP||Professional Emergency Care|13700 St. Fran
cis Blvd, ED|Midlothian|VA|23114|13700 St Francis Blvd|# Ed|Midlothian|VA|231143

222|8045947950|8045947955|||2013-11-14T23:15:44.0Z|2014-11-14T05:00:00.0Z|New~Re
fill|BonSecoursTest|2013-11-14T23:15:45.0Z|N||v10_6|1821076050|1821076050001||||
||||||||||||37.46622|-77.65855|Y|AM
6421735393001|||||Thiyagarajah|Aathirayen||MD||Oaktree Medical Centre|115 Brushy
Creek Rd|Easley|SC|29642|115 Brushy Creek Rd||Easley|SC|296421120|8648551633|86
st|2013-11-14T22:24:39.0Z|N||v10_6|1962490698|1962490698001||||||||||||||||34.81
957|-82.58221|Y|
474986001|||||||||||||||||||
6422203987001|||||Qureshi|Zeeshan||DO||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1477748689|1477748689001||||||||||||||||32.81096|-96.83699|Y|
6422411945001|||PD||Little|Parul|D|MD||5955 Harbour Park Drive|Chesterfield Pedi
atrics|Midlothian|VA|23112|5955 Harbour Park Dr||Midlothian|VA|231122163|8047444
oursTest|2013-11-14T22:20:39.0Z|U|New~Refill|v10_6|1932155504|1932155504001|||||
|||||||||||37.41372|-77.64719|Y|AM
6422697014001|||IM||Abdulhameed|Mohamed|F|MD|PREVEA HEALTH|3100 SUPERIOR AVENUE|
|SHEBOYGAN|WI|53081|3100 Superior Ave||Sheboygan|WI|530811948|9204964700|9204517
:06:48.0Z|U|New|v10_6|1255590899|1255590899001||||||||||||||||43.76281|-87.74751
|Y|AM
6423423246001|||||BETA112|EDI|||BETA112 EDI|5995 WINDWARD PARKWAY||ALPHARETTA|GA
|30005|5995 Windward Pkwy||Alpharetta|GA|300054184|6784223458|6784221398|||201306-04T03:05:06.0Z|2099-10-08T10:36:07.0Z|New~Refill|McKessonHACQA|2013-11-14T18:
27:06.0Z|U|New~Refill|v10_6|5872591255|5872591255001||||||||||||||||34.08649|-84
.25046|Y|
is|2013-11-14T06:45:38.0Z|D|New|v10_6|1922063561|1922063561001||||||||||||||||29
.47159|-98.60189|Y|
eName|ACNP|sampleClinicName|"> From <"|&'> To <'|Allen Park|MI|70000|"> From <"|
|Allen Park|MI|70000|8877665544|7766554433|mail@mail.com|8877665544^WP~887766554
4^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-14T08:03:08.0Z|2013-11-14
T01:02:08.0Z|New|AmericanChoice|2013-08-14T08:03:08.0Z|D||v10_6|9902080945|99020
80945001|Doctor|sampleFileID|sampleMedicareNumber|sampleMedicaidNumber|sampleDen
tistLicenseNumber|sampleUPIN|samplePPONumber|888888888|sampleAuthorization||||||
||||AM
is|2013-11-14T06:46:01.0Z|D|New|v10_6|1922063547|1922063547001||||||||||||||||29
.47159|-98.60189|Y|
6426005620001|||||Dreyer|Ronald||MD||438 Route 304||Bardonia|NY|10954|438 Route
304||Bardonia|NY|109541615|8456238188|8456236205|||2013-11-14T22:57:38.0Z|2014-1
54529|1396754529001||||||||||||||||41.11294|-73.99455|Y|AM
6428731049001|||PDC||Marans|Zvi||MD||205 Robin Road|Suite 100|Paramus|NJ|10032|2
05 Robin Rd|Ste 100|Paramus|NJ|076521424|2015990026|2019861160|||2013-10-28T18:2
U|New|v10_6|1033188198|1033188198001||||||||||||||||40.93316|-74.07546|Y|AM
6430135791001|||||Berg|Jonathan||MD||2 Crosfield Avenue|Suite 318|West Nyack|NY|
T22:54:51.0Z|N||v10_6|1376793976|1376793976001||||||||||||||||41.09306|-73.97705
|Y|AM
6430622301001|||FP||Hennon|Nell|Ann|DO||1512 N GREEN MOUNT ROAD SUITE 108||OFALL
ON|IL|62269|1512 N Green Mount Rd|Ste 108|O Fallon|IL|622691953|6186245510|61862
-11-14T20:06:55.0Z|U|New|v10_6|1992739221|1992739221001||||||||||||||||38.58564|
-89.92829|Y|AM
6430721467001|||||Friedman|Howard||DPM||29 North Airmont Road||Suffern|NY|10901|
29 N Airmont Rd||Suffern|NY|109014242|8453572806|8453573376|||2013-11-14T22:58:4
v10_6|1841300399|1841300399001||||||||||||||||41.11694|-74.11085|Y|
6430998883001|||||Furey|Catherine||MD||4 Medical Park Drive||Pomona|NY|10970|4 M
edical Park Dr||Pomona|NY|109703516|8453546225|8453546335|||2013-11-14T22:58:54.
0_6|1083653240|1083653240001||||||||||||||||41.16712|-74.0338|Y|AM
6431969511001|||||Slaten|Warren||MD||327 ROUTE 59|ROCKLAND ORTHOPEDICS, STE 2|Ai
rmont|NY|10952|327 Route 59||Airmont|NY|109523420|8453562900|8453567797|||2013-1
12:08.0Z|U|New|v10_6|1568567519|1568567519001||||||||||||||||41.11002|-74.09595|
Y|
6433388769002|||||LUKETIC|VELIMIR||||Box 980341||Richmond|VA|23298|PO Box 980341
||Richmond|VA|232980341|8048284060|8048285348|||2013-11-14T22:24:16.0Z|2014-11-1
28|1811081128002||||||||||||||||37.54283|-77.4305|N|
6433706481001|RE4546542||FP||Staging|Fresh|||gloClinic|Address 1|Address 2|Troy|
MI|48084||||||2483214564|2485454132|||2012-11-14T19:51:51.0Z|2013-11-14T07:49:38
.0Z|New~Refill|GlostreamTest|2012-11-15T00:00:54.0Z|D|New~Refill|v4_20||||||||||
|||||||||||AM
6435816304001|||||Bland|Maynard|William|MD||407 N Main St|Maynard William Bland
MD|Fountain Inn|SC|29644|407 N Main St||Fountain Inn|SC|296441605|8648622288|864
t|2013-11-14T22:16:23.0Z|U|New|v10_6|1497787816|1497787816001||||||||||||||||34.
69703|-82.20492|Y|AM
6436828415001|||CD||Feigenblum|David||MD||350 Engle Street||Englewood|NJ|76311|3
50 Engle St||Englewood|NJ|076311808|2018943533|2015188739|||2013-10-28T18:22:10.
0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:58:06.0Z|U|New
|v10_6|1356357420|1356357420001||||||||||||||||40.90427|-73.9687|Y|AM
6436926441002|||OBG||Willard|Richard||||515 Newtown Rd||Virginia Beach|VA|23462|
515 Newtown Rd||Virginia Beach|VA|234625620|7574897331|7573094863|||2013-11-14T2
0Z|N||v10_6|1538167796|1538167796002||||||||||||||||36.85723|-76.17746|Y|AM
6437799045001|||||Finnegan|Maureen|A.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1316907207|1316907207001||||||||||||||||32.81096|-96.83699|Y|
6438317854001|||||Bonzo|Suzann||MD||1611 27th St Fulton Bldg, Suite 101||Portsmo
uth|OH|45662|1611 27th St|Ste 101|Portsmouth|OH|456626932|7403534143|7403531714|
1-14T23:31:23.0Z|N||v10_6|1245210236|1245210236001||||||||||||||||38.7535|-82.98
049|Y|AM
6439346680001|||||Garber|Jaime||DPM||2 Crosfield Avenue|Suite 302|West Nyack|NY|
T22:58:59.0Z|N||v10_6|1720248438|1720248438001||||||||||||||||41.09306|-73.97705
|Y|
6439499792001|||ID||Brar|Indira||MD||2799 West Grand Blvd.||DETROIT|MI|48202|279
|v10_6|1699843128|1699843128001||||||||||||||||42.36731|-83.08504|Y|AM
6439553713001|||||Degen|Janaki||MD||255 Lafayette Avenue|Good Samaritan Hospital

1-14T22:57:08.0Z|U|New|v10_6|1811059132|1811059132001||||||||||||||||41.11199|-7
4.13325|Y|AM
6440042748001|||AN||Split|James|F|MD|COMMUNITY MEMORIAL HOSPITAL|855 S MAIN ST||
OCONTO FALLS|WI|54154|855 S Main St||Oconto Falls|WI|541541296|9208463444|920846
2013|||2013-08-25T13:53:22.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|201311-14T20:07:04.0Z|U|New|v10_6|1811925282|1811925282001||||||||||||||||44.86677|88.12852|Y|AM
6441333021001|||||Laitman|Bernard||MD||20 Squadron Boulevard|Suite 290|New City|
NY|10956|20 Squadron Blvd|Ste 290|New City|NY|109565262|8456349400|8456340547|||
8|Y|AM
6442473545001|||||Char|Jerome||MD||3 College Road||Monsey|NY|10952|3 College Rd|
|Monsey|NY|109522833|8453572733|8456349464|||2013-11-14T22:56:11.0Z|2014-11-14T0
1144316480001||||||||||||||||41.11083|-74.09044|Y|AM
6442944842001|||US||Ogletree|Naima||CNP||2799 West Grand Blvd.||DETROIT|MI|48202
|New|v10_6|1336226422|1336226422001||||||||||||||||42.36731|-83.08504|Y|AM
6443610012001|||||Shappell|Heidi||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1679534671|1679534671001||||||||||||||||32.81096|-96.83699|Y|
6444962891001|||||Sebastian|Vinod|A.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1073713079|1073713079001||||||||||||||||32.81096|-96.83699|Y|
6445173092002|||ON||Nagabhirava|Sowjanya||MD||725 Volvo Parkway,STE200|Virginia
Oncology Associates|CHESAPEAKE|VA|23320|725 Volvo Pkwy|Ste 200|Chesapeake|VA|233
201602|7575494403|7575494332|||2013-10-17T15:55:31.0Z|2014-11-14T05:00:00.0Z|New
02||||||||||||||||36.76741|-76.23353|Y|AM
6446081435001|||||Marder|Michael||DDS||119 West 57th Street||New York|NY|10019|1
19 W 57th St||New York|NY|100192302|2122658291|2122658291|||2013-11-14T23:05:47.
0_6|1356457758|1356457758001||||||||||||||||40.76518|-73.97801|Y|
6446434931002|||||Dominick|Gerald||||3636 High St||Portsmouth|VA|23707|3636 High
St||Portsmouth|VA|237073236|7573982222|7573982020|||2013-11-14T23:49:49.0Z|2014
1478216|1861478216002||||||||||||||||36.83694|-76.34796|Y|
6447427256011|||||Chou|Nancy|||Main|6666 Six Forks Road||Raleigh|NC|27616|6666 S
ix Forks Rd||Raleigh|NC|276156518|9193296666|9193291112|||2013-02-15T09:00:13.0Z
|2099-12-31T00:00:00.0Z|New~Refill|AllScripts106|2013-11-14T09:29:52.0Z|U|New|v1
0_6mu2|1654768427|1654768427011||||||||||||||||35.87082|-78.64105|Y|
6447427256012|||||Chou|Nancy|||Main|6666 Six Forks Road||Raleigh|NC|27616|6666 S
ix Forks Rd||Raleigh|NC|276156518|9193296666|9193291112|||2013-02-15T09:00:15.0Z
|2099-12-31T00:00:00.0Z|MedHistory~Eligibility|Allscripts4.0Test|2013-11-14T09:2
9:53.0Z|U|MedHistory~Eligibility|v4_0|1654768427|1654768427012||||||||||||||||35
.87082|-78.64105|Y|
6447579551001|||||Krawitz|Lawrence||MD||200 Airport Executive Park|Suite 205|Nan
uet|NY|10954|200 Airport Executive Park|Ste 205|Nanuet|NY|109545262|8453563610|8
est|2013-11-14T23:03:28.0Z|N||v10_6|1225019383|1225019383001||||||||||||||||41.1
0799|-74.02779|Y|AM
6447602601001|||||Dorofi|David|B|MD||901 Hampton Blvd||Norfolk|VA|23507|901 Hamp
ton Blvd||Norfolk|VA|235071503|7576230526|7576276471|||2013-11-12T20:12:33.0Z|20
6|1548261928|1548261928001||||||||||||||||36.86476|-76.30236|Y|AM
6448435431003|||||KOCH|STEPHEN||||55 Palmer Avenue||Bronxville|NY|10708|55 Palme
r Ave||Bronxville|NY|107083403|9147874275|9147872189|||2013-11-14T23:02:59.0Z|20
629092838|1629092838003||||||||||||||||40.94175|-73.83617|Y|
6448474711002|||US||Sharma|Joy||MD||7858 Shrader Road|Advanced Orthopaedic Cente
rs|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|804273929
-11-14T22:21:27.0Z|U|New|v10_6|1639387293|1639387293002||||||||||||||||37.62635|
-77.5264|Y|AM
6449618878002|||||Thompson|James||||1101 ST CHRISTOPHER DR||ASHLAND|KY|41101|110
1 Saint Christopher Dr||Ashland|KY|411017087|6068333791|6068332284|||2013-11-14T
.0Z|N||v10_6|1013955368|1013955368002||||||||||||||||38.50937|-82.69333|Y|
6450458602001|||||Ginsburg|Charles|M.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1326008087|1326008087001||||||||||||||||32.81096|-96.83699|Y|
6452729521001|||HO||Barthel|Bernd||MD||39450 West 12 Mile Road||Novi|MI|48377|39
450 W 12 Mile Rd||Novi|MI|483773600|2486616467|2483446699|||2013-07-27T09:27:22.
v10_6|1265500797|1265500797001||||||||||||||||42.49805|-83.43774|Y|AM
6452839361001|||||Deschino|Diane||MD||2 Crosfield Avenue|Suite 318|West Nyack|NY
|10994|2 Crosfield Ave|Ste 318|West Nyack|NY|109942220|8453535600|8453533474|||2
4T22:57:10.0Z|N||v10_6|1649268020|1649268020001||||||||||||||||41.09306|-73.9770
5|Y|AM
6453080155002|||IMG||Vij|Subir||MD||549 E Brambleton Ave|JenCare Office|Norfolk|
VA|23510|549 E Brambleton Ave||Norfolk|VA|235102915|7575339441|7574461454|||2013
2:44:33.0Z|U|New|v10_6|1629048327|1629048327002||||||||||||||||36.85319|-76.2825
8|Y|AM
6454213896001|||||Thompson|Forrest|L|MD||201 EAST GROVER STREET||SHELBY|NC|28150
|201 E Grover St||Shelby|NC|281503917|7044873918|9804873797|||2013-11-14T23:36:3
v10_6|1073551859|1073551859001||||||||||||||||35.30291|-81.53551|Y|AM
6455413966001|||PD||Mikuls|Mary|Jane|MD|Children's Physicians - WVillagePte|110
N 175th St STE 1000|Children's Physicians - WVillagePte|Omaha|NE|68118|110 N 175
th St|Ste 1000|Omaha|NE|681183581|4029555437|4029557310|jmikuls@childrensomaha.o
rg||2011-09-30T13:06:05.0Z|2014-08-01T05:00:00.0Z|New~Refill|TCHOmahaTest10dot6|
2013-11-14T19:11:24.0Z|U|New~Refill|v10_6|1447361449|1447361449001||||||||||||||
||41.25753|-96.19026|Y|AM
6457491705001|||||Welsh|James|D|||1583 HEALTHCARE DRIVE||ROCK HILL|SC|29732|1583
Health Care Dr||Rock Hill|SC|297323858|8033297772|8033299821|||2013-11-14T23:36
||v10_6|1033138359|1033138359001||||||||||||||||34.95109|-81.04975|Y|AM
6457674482001|||||Grandis|Stuart||MD||1 Gaymont Road||Richmond|VA|23229|1 Gaymon
t Rd||Richmond|VA|232298014|8042888976|8042888976|||2013-11-14T22:18:21.0Z|201411-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:18:21.0Z|N||v10_6|1164
424560|1164424560001||||||||||||||||37.57266|-77.55341|Y|AM
6458850503002|||OBG||Gower|Roger|H|MD||2 Memorial Medical Dr|Greenville OB/GYN A
ssociates|Greenville|SC|29605|2 Memorial Medical Dr||Greenville|SC|296054450|864
nSecoursTest|2013-11-14T22:15:38.0Z|U|New|v10_6|1164462511|1164462511002||||||||
||||||||34.81687|-82.42139|Y|AM
6459341916002|AM1234501||||BURRISS-MASTER|LISA|||Mike's 11.2 Test Org|PAIN MGMT
W/ EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|51377077
00|||2013-11-04T19:59:03.0Z|2096-11-14T17:06:08.0Z|New~MedHistory|MedPlusQA4|201
3-11-14T17:04:20.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6460340188002|||FP||Morrison|Pamela||||King William-Dawn Community Doctors|P.O.

Box 213|Aylett|VA|23009|PO Box 213||Aylett|VA|230090213|8047693022|8047691253|||
93|N|AM
6460493052008|AM2451019||||JONES|PAPA|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPHAS
IS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||2012
-12-14T13:25:51.0Z|2096-11-14T17:06:10.0Z|New~Refill~Change~MedHistory|MedPlusQA
4|2013-11-14T17:04:22.0Z|U|New~Refill~Change~MedHistory|v4_20|1245789619|1245789
619008|||||||||||||||||||
6460833109001|||||Rento|Richard|G II|MD||11842 ROCK LANDING DR||NEWPORT NEWS|VA|
23606|11842 Rock Landing Dr||Newport News|VA|236064437|7578731374|7578731612|||2
4T22:41:06.0Z|N||v10_6|1578541694|1578541694001||||||||||||||||37.09368|-76.4660
8|Y|AM
6461153671001|||US||Lemere|Wendy||CNP||24555 Haig||TAYLOR|MI|48180|24555 Haig St
||Taylor|MI|481803322|3133752000|3133752166|||2012-10-11T18:12:17.0Z|2014-11-14T
05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:41:35.0Z|U|New|v10_6|10635960
70|1063596070001||||||||||||||||42.2367|-83.27328|Y|AM
6463355233001|||||Krebs|Genevieve||MD||76 Washington Avenue||Suffern|NY|10901|76
Washington Ave||Suffern|NY|109016030|8453572177|8453577095|||2013-11-14T23:03:3
v10_6|1497863195|1497863195001||||||||||||||||41.11245|-74.14951|Y|AM
6464617797001|||||Foy|Amy||NP||Tuckahoe Orthopedics|1501 Maple Ave., Suite 200|R
ichmond|VA|23226|1501 Maple Ave|Ste 200|Richmond|VA|232262553|8042852300|8042858
13-11-14T23:34:47.0Z|N||v10_6|1275850612|1275850612001||||||||||||||||37.58521|77.51371|Y|
6464773939001|||||Jones|John||MD||1109 Bellefonte Rd.||Flatwoods|KY|41139|1109 B
ellefonte Rd||Flatwoods|KY|411392503|6068368086|6068361059|||2013-11-12T20:23:25
.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:49:37.0Z|U|Ne
w|v10_6|1952465932|1952465932001||||||||||||||||38.51501|-82.72165|Y|AM
6467432220001|DEB951628||||Robinson1111111111111|James1111111111111111|||JamesRo
binson11111111|123 Test Street11111111111111111111||Los Angeles11111111111111111
111|CA|90210|123 Test STREET11111111111111111111||Beverly Hills|CA|90210|8186879
532x4589|8184576895|||2013-11-14T15:53:39.0Z|2013-11-14T16:16:50.0Z||Infor-MedTe
st4.2|2013-11-14T16:16:50.0Z|D|New|v10_6mu2|1053315556|1053315556001||||||||||||
||||34.08616|-118.40503|N|
6467432220002|DEB951628||||Robinson1111111111111|James1111111111111111|||JamesRo
binson11111111|54 Imaginary Rd22222222222222222222||Los Angeles11111111111111111
111|CA|90210|54 Imaginary RD22222222222222222222||Beverly Hills|CA|90210|8184756
698x5478|8184128796|||2013-11-14T15:58:10.0Z|2014-11-14T00:40:45.0Z|New|Infor-Me
dTest4.2|2013-11-14T15:58:10.0Z|N||v10_6mu2|1053315556|1053315556002||||||||||||
||||34.08616|-118.40503|N|
6467609841001|||FP||Cobaugh|Donn|S|MD||12801 Ironbridge Road, Suite 200|Family P
hysicians of Chester|Chester|VA|23831|12801 Iron Bridge Rd|Ste 200|Chester|VA|23
8311669|8047489071|8047688626|||2012-03-08T19:17:02.0Z|2014-11-14T05:00:00.0Z|Ne
5325510001||||||||||||||||37.35167|-77.4589|Y|AM
6467992395001|||D||Gathers|Raechele||MD||14300 Beck Road||Plymouth|MI|48170|1430
0 N Beck Rd||Plymouth|MI|481703377|7344535600|7343545998|||2013-02-27T22:36:47.0
10_6|1285693804|1285693804001||||||||||||||||42.38497|-83.50737|Y|AM
6468623932001|||D||Balle|Mark||MD||39450 West 12 Mile Road||NOVI|MI|48377|39450
W 12 Mile Rd||Novi|MI|483773600|3139162151|2483442369|||2012-10-11T18:08:48.0Z|2
6|1265510135|1265510135001||||||||||||||||42.49805|-83.43774|Y|AM
6470077028001|||OPH||Crandall|David||MD||6530 Farmington Road, Suite 300||West B
loomfield|MI|48322|6530 Farmington Rd|Ste 300|West Bloomfield|MI|483223216|24866
15100|2486615090|||2013-07-27T08:25:32.0Z|2014-11-14T05:00:00.0Z|New~Refill|Henr
yFordTest|2013-11-14T19:42:12.0Z|U|New|v10_6|1548294416|1548294416001|||||||||||
|||||42.5419|-83.38104|Y|AM
6470349708001|||GS||Lemens|Susan|M|PA-C||2845 Greenbrier Rd|Ste 330|Green Bay|WI
|54311|2845 Greenbrier Rd|Ste 330|Green Bay|WI|543116519|9202888350|9202888355||
|2013-08-25T13:36:53.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T
20:07:30.0Z|U|New|v10_6|1982687323|1982687323001||||||||||||||||44.4753|-87.9387
9|Y|AM
6470807473001|||||Oscar|Pierre||PA||2 Crosfield Avenue|Suite 2|Airmont|NY|10952|
2 Crosfield Avenue||Airmont|NY|10952|8453562900|8453567797|||2013-11-14T23:25:23
10_6|1710118914|1710118914001||||||||||||||||41.11559|-74.07722|N|
6472335937001|FS1449075||||Seth|Naveen|||FSLHC Emergency Dept|1656 Champlin Ave|
|Utica|NY|13502|1656 Champlin Ave||Utica|NY|135024830|3156246112|3156246308|nset
@mvnhealth.com||2013-11-14T21:54:00.0Z|2099-12-31T00:00:00.0Z|New|AllScripts106|
2013-11-14T21:54:00.0Z|N||v10_6mu2|1851548838|1851548838001||||||||||||||||43.09
84|-75.27819|Y|
6472335937002|FS1449075||||Seth|Naveen|||FSLHC Urgent Care|1676 Bennett St||Utic
a|NY|13502|1676 Bennett St||Utica|NY|135025328|3156245226|3156245279|nset@mvnhea
lth.com||2013-11-14T21:54:19.0Z|2099-12-31T00:00:00.0Z|New|AllScripts106|2013-11
-14T21:54:19.0Z|N||v10_6mu2|1851548838|1851548838002||||||||||||||||43.09177|-75
.259|Y|
6474551499001|||||Burton|Diane|L|NP||8220 Meadowbridge Rd|MOB 2|MECHANICSVILLE|V
A|23116|8220 Meadowbridge Rd||Mechanicsville|VA|231162336|8043258720|8047647351|
1-14T23:31:00.0Z|U|New|v10_6|1083056493|1083056493001||||||||||||||||37.62765|-7
7.38717|Y|
6476411866003|||||KATZENSTEIN|MARTIN||||Good Samaritan Hospital||Suffern|NY|1090
1|Good Samaritan Hospital||Suffern|NY|10901|8453685104|8453685359|||2013-11-14T2
0Z|N||v10_6|1184616963|1184616963003||||||||||||||||41.12422|-74.10845|N|
6477700127001|||||Goldings|Audrey|S.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1184678708|1184678708001||||||||||||||||32.81096|-96.83699|Y|
8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T12:47:30.0Z|2014-02-14T04:4
M
6479468145001|||NEP||Soman|Sandeep||MD||2799 West Grand Blvd.||DETROIT|MI|48202|
2799 W Grand Blvd||Detroit|MI|482022608|3139162707|3139165316|||2012-10-11T18:12
:03.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:41:13.0Z|U|
New|v10_6|1669481446|1669481446001||||||||||||||||42.36731|-83.08504|Y|AM
6479794672001|||||Passano|Cherie||MD||134 Route 59||Suffern|NY|10901|134 Route 5
9||Suffern|NY|109014917|8453575333|8453572347|||2013-11-14T23:07:33.0Z|2014-11-1
54|1508830654001||||||||||||||||41.11367|-74.12251|Y|AM
6480335978002|||GP||Malhotra|Shailja||MD||9460 AMBERDALE DR|VILLAGE GREEN - PHG|
RICHMOND|VA|23236|9460 Amberdale Dr||North Chesterfield|VA|232361259|8048187041|
Test|2013-11-14T22:22:54.0Z|U|New|v10_6|1972572543|1972572543002||||||||||||||||
37.44816|-77.57061|Y|AM
6481780701001|||||Sussner|Justin||DPM||222 Route 59|Suite 305|Suffern|NY|10901|2
22 Route 59|Ste 305|Suffern|NY|109015208|8453682442|8453683775|||2013-11-14T23:1
N||v10_6|1578592093|1578592093001||||||||||||||||41.11288|-74.11188|Y|
6481933763002|||EM||Hughes|John|E|MD||2 Bernardine Drive|Mary Immaculate Hospita
l|Newport News|VA|23602|2 Bernardine Dr||Newport News|VA|236024404|7578866271|75

st|2013-11-14T22:46:47.0Z|U|New|v10_6|1689869265|1689869265002||||||||||||||||37
.14445|-76.51118|Y|AM
6483227644001|||||Leslie|Denise||MD||255 Lafayette Avenue|Good Samaritan Hospita
6484401982002|||FP||Bennett|Garrison||MD||15769 WC Main Streetactice||Midlothian
|VA|23113|15769 Wc Main St||Midlothian|VA|231137327|8044199760|8043789140|||2013
3:35:35.0Z|U|New|v10_6|1114990009|1114990009002||||||||||||||||37.51232|-77.6996
3|N|AM
6484816353001|||FP||Smith|Daniel|Burton|MD||1200 N STATE HIGHWAY 121||MT ZION|IL
|62549|1200 N State Highway 121||Mt Zion|IL|625491224|2178645331|2178642449|||20
13-08-25T13:40:14.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:
07:46.0Z|U|New|v10_6|1699779538|1699779538001||||||||||||||||39.7839|-88.87001|Y
|AM
6485896883001|||||Lee|Jeffrey||PA||Advanced Orthopedics & Sports Med|408 Airport
Executive Pk|Nanuet|NY|10954|408 Airport Executive Park||Nanuet|NY|109545288|84
54250555|8454266126|||2013-11-14T23:24:47.0Z|2014-11-14T05:00:00.0Z|New~Refill|B
onSecoursTest|2013-11-14T23:24:48.0Z|N||v10_6|1710085097|1710085097001||||||||||
||||||41.10864|-74.02709|Y|
6486218095001|||||Edwards|Sherita|K|CRNA||West End Anesthesia Group|5855 Bremo R
oad, S-100|Richmond|VA|23226|5855 Bremo Rd|# S-100|Richmond|VA|232261930|8042886
oursTest|2013-11-14T23:31:31.0Z|N||v10_6|1962594259|1962594259001|||||||||||||||
|37.58414|-77.51271|Y|
6486230157001|||||MEDHOST|Physician|QA||MEDHOST Gen Hospital, MEDHOST, Inc.|6100
W. Plano Parkway|Suite 3100|Plano|TX|75093|6100 W Plano Pkwy|Ste 3100|Plano|TX|
750938342|9725603100|9275603101|||2013-11-14T19:54:47.0Z|2099-12-31T00:00:00.0Z|
New|MEDHOSTTest106|2013-11-14T19:54:47.0Z|N||v10_6mu2|6786544562|6786544562001||
108400||||||||||||||33.01673|-96.83445|Y|
6486406518001|||FP||Clarin|Arnel||MD||9100 Brombach||Hamtramck|MI|48212|9100 Bro
mbach St||Hamtramck|MI|482123473|3139729000|3139729040|||2012-10-11T18:12:07.0Z|
2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:41:17.0Z|U|New|v10
_6|1023182532|1023182532001||||||||||||||||42.3915|-83.05718|Y|AM
6486840674001|||||Langman|Yaron||MD||974 Route 45||Pomona|NY|10970|974 Route 45|
|Pomona|NY|109703520|8453543700|8453545439|||2013-11-14T23:04:13.0Z|2014-11-14T0
1568622678001||||||||||||||||41.1696|-74.03207|Y|AM
6488856785001|||||Weingarten|Phyllis||MD||4 Medical Park Drive||Pomona|NY|10970|
4 Medical Park Dr||Pomona|NY|109703516|8453546225|8453546335|||2013-11-14T23:14:
|v10_6|1336229350|1336229350001||||||||||||||||41.16712|-74.0338|Y|AM
6489040728001|||||Fernandez|Cathryn|L|CRNA||Commonwealth Anesthesia Associates|1
3700 St. Francis Blvd|Midlothian|VA|23114|13700 St Francis Blvd||Midlothian|VA|2
31143222|8045942622|8045940915|||2013-11-14T23:32:46.0Z|2014-11-14T05:00:00.0Z|N
ew~Refill|BonSecoursTest|2013-11-14T23:32:46.0Z|N||v10_6|1437274255|143727425500
1||||||||||||||||37.46622|-77.65855|Y|
6489872716001|||||Almiron|Sylvester||MD||14 Doscher Avenue||West Nyack|NY|10994|
14 Doscher Ave||West Nyack|NY|109942631|8453582777|8453582782|||2013-11-14T22:53
||v10_6|1689765992|1689765992001||||||||||||||||41.09252|-73.96653|Y|AM
6490488726003|||IM||McLean|Christianne|P|MD||6439 Iron Bridge Rd|Primary Health
Grp|Richmond|VA|23234|6439 Iron Bridge Rd||North Chesterfield|VA|232345205|80427
||||||37.42794|-77.49378|Y|AM
6490614115001|||||Lowenthal|Diana||MD||New York Medical College||Valhalla|NY|105

95|New York Medical College||Valhalla|NY|10595|9144937585|9145944336|||2013-11-1
21.0Z|N||v10_6|1861492209|1861492209001||||||||||||||||41.08549|-73.78178|N|AM
6491088384001|||||Potes|Ernesto||||460 LANGDON STREET|Neurology Ecenter of the C
aroICES|SPARTANBURG|SC|29302|460 Langdon St||Spartanburg|SC|293021614|8645422510
sTest|2013-11-14T23:37:53.0Z|U|New|v10_6|1760451579|1760451579001|||||||||||||||
|34.95863|-81.92292|Y|AM
6491211044003|||||Klevan|Thomas||||205 Business Park Dr|Suite 200|Virginia Beach
|VA|23462|205 Business Park Dr|Ste 200|Virginia Beach|VA|234626335|7578895351|75
st|2013-11-14T22:35:23.0Z|N||v10_6|1760457873|1760457873003||||||||||||||||36.84
436|-76.1767|Y|
6492752277001|||||Joshua|Suma||PA||Good Samaritan Hospital|255 Lafayette Avenue|
-14T23:23:38.0Z|N||v10_6|1720318769|1720318769001||||||||||||||||41.11199|-74.13
325|Y|
6493543683001|||||March|Robert||MD||255 Fifth Avenue||Nyack|NY|10960|255 5th Ave
||Nyack|NY|109601824|8453621750|8453621577|||2013-11-14T23:05:45.0Z|2014-11-14T0
1801005012001||||||||||||||||41.09596|-73.92604|Y|AM
6494258497001|||FP||Greene|Michael|||Massachusetts General Hospital|55 Fruit Str
eet||Boston|MA|02114|55 Fruit St||Boston|MA|021142696|6177242229|6177243498|MFGR
EENE@PARTNERS.ORG||2012-09-07T12:30:58.0Z|2023-11-14T05:00:00.0Z|New|MassGenlHos
pital|2013-11-14T19:11:46.0Z|U||v10_6|1376533406|1376533406001||||||||||||||||42
.36244|-71.06978|Y|AM
6494258497002|||FP||Greene|Michael|||TEST-MGH Obstetrics|55 Fruit Street|Yawkey
Center|Boston|MA|021140000|55 Fruit St||Boston|MA|021142696|6177242229|617724349
8|MFGREENE@PARTNERS.ORG||2012-09-07T12:33:49.0Z|2023-11-14T05:00:00.0Z|New|MassG
enlHospital|2013-11-14T19:11:48.0Z|U|New|v10_6|1376533406|1376533406002|||||||||
|||||||42.36244|-71.06978|Y|AM
is|2013-11-14T06:46:56.0Z|D|New|v10_6|1922063552|1922063552001||||||||||||||||29
.47159|-98.60189|Y|
6494808473002|||||JONES|RONALD||||4300 Portsmouth Blvd|Bon Secours Occumed|Chesa
peake|VA|23321|4300 Portsmouth Blvd||Chesapeake|VA|233212137|7573522020|75735220
3-11-14T22:34:25.0Z|N||v10_6|1982669776|1982669776002||||||||||||||||36.82319|-7
6.42049|Y|
6495227848001|||||Gewirtz|Jules||MD||500 NEW HEMPSTEAD RD||NEW CITY|NY|10956|500
New Hempstead Rd||New City|NY|109561132|8453621630|8453621641|||2013-11-14T22:5
N||v10_6|1336240647|1336240647001||||||||||||||||41.14964|-74.03305|Y|AM
6495971486005|AP5784625||||DUBE|DEEPALIMY|||Mike's 11.2 Test Org|PAIN MGMT W/ EM
PHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|OH|45040|
5132042340|5137707700|||2012-03-02T14:14:13.0Z|2096-11-14T17:05:54.0Z|New~MedHis
tory|MedPlusQA4|2013-11-14T17:04:06.0Z|U|New~MedHistory|v4_20|3564821742|3564821
742005|||||||||||||||||||
6496230684001|||||Occhiogrosso|Deborah||NP||484 Temple Hill Road|Suite 102|West
Nyack|NY|10994|484 Temple Hill Road||West Nyack|NY|10994|8453581344|8453588073||
-14T23:25:21.0Z|N||v10_6|1801875844|1801875844001||||||||||||||||41.09607|-73.96
955|N|
6496326995002|||||Happe|Sarah|Kathleen|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1609005529|1609005529002||||||||||||||||32.81096|-96.83699|Y|
6497724487001|||||Korngold|Jay||MD||125 South Main Street||New City|NY|10956|125
S Main St||New City|NY|109563501|8456344554|8456391959|||2013-11-14T23:03:05.0Z
6|1386795664|1386795664001||||||||||||||||41.14303|-73.99062|Y|AM
6497857800003|||||Salenger|Rawn||MD||255 Lafayette Avenue|Good Samaritan Hospita
6497912389001|||||Heller|Sandra||CNM||134 ROUTE 59||Suffern|NY|10901|134 Route 5
9||Suffern|NY|109014917|8453575333|8453572347|||2013-11-14T23:24:28.0Z|2014-11-1
34|1326152034001||||||||||||||||41.11367|-74.12251|Y|
6497926686001|||HO||Chapman|Robert||MD||2799 West Grand Blvd.||Detroit|MI|48202|
New|v10_6|1871661306|1871661306001||||||||||||||||42.36731|-83.08504|Y|AM
6498104416001|||ORS||Sharma|Vivek||MD||131 Jennick Drive|Colonial Orthopaedics|C
olonial Heights|VA|23834|131 Jennick Dr||Colonial Heights|VA|238344905|804526588
rsTest|2013-11-14T22:21:29.0Z|U|New~Refill|v10_6|1922171958|1922171958001|||||||
|||||||||37.25132|-77.38483|Y|AM
6498128548001|||||Cooper|Steven||MD||55 College Road||Monsey|NY|10952|55 College
Rd||Monsey|NY|109522826|8454254713|8453685322|||2013-11-14T22:56:48.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:56:48.0Z|N||v10_6|1275629
347|1275629347001||||||||||||||||41.11728|-74.08852|Y|AM
6498336034001|||||Josef|Jeffrey||MD||Route 45|Northside Plaza|Pomona|NY|10970|Ro
ute 45||Pomona|NY|10970|8453628500|8453628598|||2013-11-14T23:02:13.0Z|2014-11-1
58|1326249558001||||||||||||||||41.1845|-74.04433|N|AM
6498706103001|||||Weiss|Moshe||MD||258 Old Nyack Turnpike||Spring Valley|NY|1097
7|258 Old Nyack Tpke||Spring Valley|NY|109775741|8453718777|8453717809|||2013-11
4:13.0Z|N||v10_6|1083683163|1083683163001||||||||||||||||41.10176|-74.04622|Y|AM
6499103260001|||FP||Beaty|Timothy|Mason|MD||9401 HOLY CROSS LANE SUITE 112||BREE
SE|IL|62230|9401 Holy Cross Ln|Ste 112|Breese|IL|622303510|6185267271|6185267313
4T20:08:00.0Z|U|New|v10_6|1740399674|1740399674001||||||||||||||||38.6254|-89.52
793|Y|AM
6500205631002|||GS||ORRINGTON-MYERS|JANIE||||1109 W. Marshall Street||RICHMOND|V
A|23220|1109 W Marshall St||Richmond|VA|232203835|8043251420|8043251425|||2013-1
24:07.0Z|N||v10_6|1215132907|1215132907002||||||||||||||||37.55249|-77.45141|Y|A
M
6500389872001|BP0470224||||Abburu|Rajitha|||rajitha dev practice|test address1|t
est address2|test|MD|20171|Test ADDRESS1||Herndon|VA|20171|7038802980|5674564567
|abrajitha856785678@gmail.com||2013-11-14T18:13:30.0Z|2099-12-31T05:00:00.0Z|New
~Refill|DrFirstWW0Test4x|2013-11-14T18:13:31.0Z|N||v4_20|1154671873|115467187300
1||||||||||||||||38.92928|-77.40543|N|
|abrajitha856785678@gmail.com||2013-11-14T18:14:32.0Z|2099-12-31T05:00:00.0Z|RxF
ill~MedHistory~Eligibility|DrFirstTest|2013-11-14T18:14:32.0Z|N||v4_0|1154671873
|1154671873002||||||||||||||||38.92928|-77.40543|N|
|abrajitha856785678@gmail.com||2013-11-14T18:14:32.0Z|2099-12-31T05:00:00.0Z|RxF
ill~MedHistory~Eligibility|DrFirstTest|2013-11-14T18:14:32.0Z|N||v4_0|1154671873
|1154671873003||||||||||||||||38.92928|-77.40543|N|
6500784007321|||||Johnson|James||||some address||Paris|AL|32801|Some Address||Pa

rrish|AL|32801|3455322477|5563443445|||2012-10-03T00:13:11.0Z|2013-11-14T15:07:3
6.0Z||EzDerm|2013-11-14T15:07:36.0Z|D||v10_6|5634567874|5634567874321|||||||||||
|||||28.54204|-81.38393|N|
6501605623001|||FP||Osborn|Jonathan|Vaughn|MD||9401 HOLY CROSS LANE SUITE 112||B
REESE|IL|62230|9401 Holy Cross Ln|Ste 112|Breese|IL|622303510|6185267271|6185267
313|||2013-08-25T13:41:00.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-1
1-14T20:08:03.0Z|U|New|v10_6|1326158254|1326158254001||||||||||||||||38.6254|-89
.52793|Y|AM
6502098513002|||AS||Kronberg|Kent|W|MD|Children's Physicians - Eagle Run|13808 W
est Maple Rd. STE 100|Children's Physicians-Eagle Run|Omaha|NE|68164|13808 W Map
le Rd|Ste 100|Omaha|NE|681646231|4029553000|4029557055|kkronberg@childrensomaha.
29272|-96.12936|Y|AM
6502488276001||4301077420|||Vas|Veronica||MD|Get Well Clinic|57392 M 51 South||D
owagiac|MI|49047|57392 M 51 S||Dowagiac|MI|490479766|2697824141|2697823783|||201
3-06-17T17:57:19.0Z|2063-06-17T17:57:22.0Z|New|MOSTTest106|2013-11-14T23:00:05.0
Z|U|New|v10_6mu2|1831125301|1831125301001||||||||||||||||41.96459|-86.14369|Y|
6502488276002|IN5425638|SL535563|||Vas|Veronica||MD|iSALUS Healthcare|212 W 10 S
t||Indianapolis|IN|46202|212 W 10th St|Ste B120|Indianapolis|IN|462025404|317687
8119|3175363978|||2013-08-15T15:50:47.0Z|2063-08-15T15:50:44.0Z|New|MOSTTest106|
2013-11-14T23:00:08.0Z|U|New|v10_6mu2|1831125301|1831125301002|Doctor|||||||||||
||||39.78113|-86.16198|Y|
6503341409002|||||RAPPAPORT|LEONARD||||3235 Academy Avenue|Suite 200|PORTSMOUTH|
VA|23703|3235 Academy Ave|Ste 200|Portsmouth|VA|237033200|7574830400|7576860947|
1-14T22:40:56.0Z|N||v10_6|1659381408|1659381408002||||||||||||||||36.86236|-76.3
9709|Y|
6503444270001|||||Horng|Jack||MD||2 Crosfield Avenue|Suite 318|West Nyack|NY|109
:01:30.0Z|N||v10_6|1922093376|1922093376001||||||||||||||||41.09306|-73.97705|Y|
AM
6503793971001|||FP||Bang-Like|Sam|S|DO|GMG Millville|515 JERSEYTOWN RD||MILLVILL
E|PA|17846|515 Jerseytown Rd||Millville|PA|178468825|5704585597|5704585114|||200
8-01-16T20:11:44.0Z|2014-11-14T05:00:00.0Z|New~Refill|GeisingerHealth10.6|2013-1
1-14T14:29:22.0Z|U|New~Refill|v10_6|1447224118|1447224118001||||||||||||||||41.1
1346|-76.54687|Y|AM
6504290571001|||||Tent|Assis||||Street G||Tedfdeg|CO|65367|Street G||Tedfdeg|CO|
65367|6376378663|7637667367|||2013-11-14T17:03:11.0Z|2063-11-14T17:00:48.0Z|New~
Refill|EzDerm|2013-11-14T17:03:12.0Z|N||v10_6|5445646545|5445646545001||||||||||
|||||||||
6504760904002|||GP||Goins|Ernest||||5486 INDIAN RIVER RD||VA BEACH|VA|23464|5486
Indian River Rd||Virginia Beach|VA|234645365|7574242490|7575230508|||2013-11-14
2.0Z|N||v10_6|1871558130|1871558130002||||||||||||||||36.80122|-76.18113|Y|AM
6507514225002|||||Emmons|Jacqueline||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1437352044|1437352044002||||||||||||||||32.81096|-96.83699|Y|
6507620990001|||||Trice|Mariann|A|CRNA||13710 St Francis Boulevard||Midlothian|V
A|23114|13710 St Francis Blvd||Midlothian|VA|231143267|8045942622|8045940915|||2
4T23:32:27.0Z|N||v10_6|1710163811|1710163811001||||||||||||||||37.46687|-77.6587
6|Y|
6507759416001|||||Marcinczyk|Michael|J|MD||397 Little Neck Road, Suite 120||Virg
inia Beach|VA|23452|397 Little Neck Rd|Ste 120|Virginia Beach|VA|234525774|75747
||||||36.84283|-76.09177|Y|AM
6507807480002|||GS||James|Ray|Lester|||101 Philip Roth Street|Peninsula Gastroen
terology|NEWPORT NEWS|VA|23601|101 Philip Roth St||Newport News|VA|236061393|757
||||||||37.08529|-76.48962|Y|AM
6508478214001|||IM||Baker-Genaw|Kimberly||MD||2799 West Grand Blvd.||DETROIT|MI|
.0Z|U|New|v10_6|1356419881|1356419881001||||||||||||||||42.36731|-83.08504|Y|AM
6509245158002|||CLP||Schwartz|Richard||MD||967 North Broadway|St. John's Riversi
de Hospital|Yonkers|NY|10701|967 N Broadway||Yonkers|NY|107011301|9149644411|914
t|2013-11-14T23:10:37.0Z|U|New|v10_6|1275577470|1275577470002||||||||||||||||40.
96821|-73.8851|Y|AM
6509355197001|||OPH||Christianson|Murray|D.|MD||2799 W. Grand Blvd.||Detroit|MI|
.0Z|U|New|v10_6|1003822420|1003822420001||||||||||||||||42.36731|-83.08504|Y|AM
110003001|||||||||||||||||||
6509948207001|||||Touchon|Robert||MD||613 23RD ST SUITE 230||ASHLAND|KY|41101|61
3 23rd St|Ste 230|Ashland|KY|411012868|6063244745|6063241544|||2013-11-14T22:52:
|v10_6|1679518914|1679518914001||||||||||||||||38.47124|-82.63295|Y|AM
6510686994001|||||Chandler|Sarah|Goldberg|MD||5201 HARRY HINES BLVD||DALLAS|TX|7
|U|New|v10_6|1447450267|1447450267001||||||||||||||||32.81096|-96.83699|Y|
6510720942001|||||Huang|John||MD||1 Crosfield Avenue|Suite 201|West Nyack|NY|109
:01:35.0Z|N||v10_6|1689613747|1689613747001||||||||||||||||41.0925|-73.97863|Y|A
M
504605001|||||||||||||||||||
6513374499001|||||Schneid|Sharona||MD||484 Temple Hill Road|Tri-State Emergency,
Suite 102|New Windsor|NY|12553|484 Temple Hill Rd||New Windsor|NY|125535557|845
||||||||41.48107|-74.06479|Y|AM
6514216202001|||||Thomas|George||MD||255 Lafayette Avenue|Good Samaritan Hospita
6515649682001|||GS||Johnson|Clyde||MD||13460 Tredegar Lake Pwky|Surgical Associa
tes of Richmond|Midlothian|VA|23114|13460 Tredegar Lake Pkwy||Midlothian|VA|2311
24070|8043790029|8043794418|||2012-03-08T19:13:03.0Z|2014-11-14T05:00:00.0Z|New~
Refill|BonSecoursTest|2013-11-14T22:18:01.0Z|U|New~Refill|v10_6|1124007851|11240
07851001||||||||||||||||37.45259|-77.65526|N|AM
6515885492002|||GS||Warrier|Rajkumar||MD||617 23rd St Suite 425|Ashland Gastroen
terology, P.S.C.|Ashland|KY|41101|617 23rd St|Ste 425|Ashland|KY|411012870|60632
||||||38.47121|-82.63298|Y|AM
6516778571002|||||Friedman|Jonathan|Ross|MD||5201 HARRY HINES BLVD||DALLAS|TX|75

3T15:00:08.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:38:55.0Z|
U|New|v10_6|1942478318|1942478318002||||||||||||||||32.81096|-96.83699|Y|
6518300408001|||||Funariu|Ana|G|||255 ENTERPRISE #100||Greenville|SC|29615|255 E
nterprise Blvd|Ste 100|Greenville|SC|296153530|8644542270|8642419216|||2013-11-1
37.0Z|N||v10_6|1528102613|1528102613001||||||||||||||||34.85245|-82.32284|Y|AM
6518451310001|||ID||Vazquez|Jose||MD||2799 West Grand Blvd.||DETROIT|MI|48202|27
w|v10_6|1518035054|1518035054001||||||||||||||||42.36731|-83.08504|Y|AM
6518548725001|||||Stennett|Thomas|R III|MD||Family Physicians of Chester|12801 I
ronbridge Road, Suite 200|Chester|VA|23831|12801 Iron Bridge Rd|Ste 200|Chester|
VA|238311669|8047489071|8047688626|||2013-11-14T22:21:05.0Z|2014-11-14T05:00:00.
0Z|New~Refill|BonSecoursTest|2013-11-14T22:21:05.0Z|N||v10_6|1447244710|14472447
10001||||||||||||||||37.35167|-77.4589|Y|AM
6518973477008|AH0000000|0000000|||HODGSON|JENNIFER|||Mike's 11.2 Test Org|PAIN M
GMT W/ EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|
OH|45040|5132042340|5137707700|||2012-03-10T18:59:51.0Z|2096-11-14T17:05:35.0Z|N
ew~MedHistory|MedPlusQA4|2013-11-14T17:03:47.0Z|U|New~MedHistory|v4_20||||||||||
|||||||||||
6520158820001|||||Levin|Janice||MD||1080 First Colonial Road||Virginia Beach|VA|
23454|1080 First Colonial Rd||Virginia Beach|VA|234542406|7574817222|7574963772|
1-14T22:46:49.0Z|N||v10_6|1134139470|1134139470001||||||||||||||||36.86364|-76.0
2622|Y|AM
8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-14T08:03:12.0Z|2
ion||||||||||AM
6520505416001|||END||Whitehouse|Fred||MD||3031 West Grand Blvd., 8th Floor||DETR
OIT|MI|48202|3031 W Grand Blvd|Fl 8|Detroit|MI|482023046|3139162092|3139169683||
|2012-10-11T18:07:23.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-1114T19:38:03.0Z|U|New|v10_6|1881762326|1881762326001||||||||||||||||42.36928|-83.
07642|Y|AM
6520685796001|||ON||Loutfi|Randa||MD||39450 West 12 Mile Road||Novi|MI|48377|394
50 W 12 Mile Rd||Novi|MI|483773600|2486616467|2483446699|||2013-07-27T05:36:44.0
10_6|1710055264|1710055264001||||||||||||||||42.49805|-83.43774|Y|AM
6520719769001|||FP||Widicus|Diana|T|MD|SPRINGFIELD PRIORITY CARE|1836 SOUTH MACA
RTHUR BOULEVARD||SPRINGFIELD|IL|62704|1836 S MacArthur Blvd||Springfield|IL|6270
44030|2177891403|2177891825|||2013-08-25T13:39:23.0Z|2014-11-14T06:00:00.0Z|New~
Refill|PreveaTest|2013-11-14T20:08:22.0Z|U|New|v10_6|1851471072|1851471072001|||
|||||||||||||39.78047|-89.66789|Y|AM
6520956262002|||||CHANG|MARK||||2 Medical Park Drive||West Nyack|NY|10994|2 Medi
cal Park Dr||West Nyack|NY|109941965|8453545000|8453549469|||2013-11-14T22:56:05
10_6|1356564934|1356564934002||||||||||||||||41.09564|-73.98315|Y|
6521074685001|||||Velagapudi|Usha||MD||222 Route 59||Suffern|NY|10901|222 Route
353|1780737353001||||||||||||||||41.11288|-74.11188|Y|AM
6521428311002|FB2188135|||DR.|DISHON3|SHERRI|||Demo Health Assoc|1256 WALDEN PA
RK DR.||MASON|OH|45040|1256 Walden Park Dr||Mason|OH|45040|9374432340|5132295505
|||2013-02-07T19:44:24.0Z|2096-11-14T15:45:37.0Z|New~MedHistory~Eligibility|MedP
lusTest3|2013-11-14T15:45:33.0Z|U|New~MedHistory|v10_6mu2|2965646732|29656467320
02||||||||||||||||39.34355|-84.31701|N|
6521428311003|FB2188135|||DR.|DISHON3|SHERRI|||WellChoice Org|2200 PARKWAY DR||M
ASON|OH|45040|2200 Parkway Dr||Mason|OH|45040|5132202200|5134404400|||2013-03-26
T20:06:21.0Z|2096-11-14T15:45:35.0Z|New~MedHistory~Eligibility|MedPlusTest3|2013
-11-14T15:45:31.0Z|U|New~MedHistory|v10_6mu2|2965646732|2965646732003|||||||||||
|||||39.34355|-84.31701|N|
6521428311004|AL5469881|||DR.|DISHON3|SHERRI|||Dev Rx - Sherri|4690 PARKWAY DRIV
E||MASON|OH|45040|4690 Parkway Dr||Mason|OH|450408172|5138675309|5138675309|||20
13-11-14T15:56:03.0Z|2096-11-14T16:44:43.0Z|New~Refill~MedHistory~Eligibility|Me
dPlusTest3|2013-11-14T16:44:39.0Z|N|New~MedHistory~Eligibility|v10_6mu2|29656467
32|2965646732004||||||||||||||||39.30312|-84.30974|Y|
6522348211001|||||Hernandez-Perez|Marier||MD||5201 HARRY HINES BLVD||DALLAS|TX|7
|U|New|v10_6|1396998761|1396998761001||||||||||||||||32.81096|-96.83699|Y|
6522592495001|||||vider|Pro|||Clinic Name|Add Line1||City|CA|787878787|Add LINE1
||Cima|CA|78787|4545456456|8789454465|||2013-11-14T06:30:44.0Z|2013-11-14T06:33:
03.0Z||MedicalOfficeSolutions10.6|2013-11-14T06:33:03.0Z|D|New|v10_6mu2|78787878
78|7878787878001|Doctor||||||||||||||24443||||NU
6522928840003|||||Robertson|Scott||||100 Kingsley Lane|Suite 200|Norfolk|VA|2350
5|100 Kingsley Ln|Ste 200|Norfolk|VA|235054604|7578895351|7574899436|||2013-11-1
22.0Z|N||v10_6|1407823255|1407823255003||||||||||||||||36.89872|-76.28005|Y|
6523228685003|||||HALPERN|AUDREY||||257 Lafayette Avenue|Suite 330|Suffern|NY|10
901|257 Lafayette Ave|Ste 330|Suffern|NY|109014831|8453688808|8453688808|||201311-14T23:00:51.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:00:51.0Z|N||v10_6|1558342261|1558342261003||||||||||||||||41.11222|-74.13531|Y|
6523649823001|||IM||Duncan|George||MD||1770 E LAKE SHORE DRIVE SUITE 307||DECATU
R|IL|62521|1770 E Lake Shore Dr|Ste 307|Decatur|IL|625213822|2714281500|21742815
12|||2013-08-25T13:41:42.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11
-14T20:08:24.0Z|U|New|v10_6|1407871882|1407871882001||||||||||||||||39.82669|-88
.93246|Y|AM
6523675117001|||||Murillo|Jaime|E|MD||205 Business Park Dr., Ste. 200||Virginia
Beach|VA|23462|205 Business Park Dr|Ste 200|Virginia Beach|VA|234626335|75726107
ursTest|2013-11-14T22:38:43.0Z|U|New|v10_6|1144296641|1144296641001|||||||||||||
|||36.84436|-76.1767|Y|AM
6524201707002|||FP||Karandana|Kamani||||4001 Coliseum Drive|Suite 300|Hampton|VA
|23666|4001 Coliseum Dr|Ste 300|Hampton|VA|236666257|7578272025|7572759805|||201
23:59:14.0Z|N||v10_6|1598967671|1598967671002||||||||||||||||37.05904|-76.39363|
Y|AM
6524884908001|||FP||Costerisan|Dennis|D|DO||1200 N STATE HIGHWAY 121||MR ZION|IL
|62549|1200 N State Highway 121||Mt Zion|IL|625491224|2177287353|2177282580|||20
13-08-25T13:40:20.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:
08:27.0Z|U|New|v10_6|1578565701|1578565701001||||||||||||||||39.7839|-88.87001|Y
|AM
6525403245002|||GP||Dumas|Paul||||705 N BATTLEFIELD BL||CHESAPEAKE|VA|23320|705
Battlefield Blvd N||Chesapeake|VA|233204901|7575470688|7573338269|||2013-11-14T2
0Z|N||v10_6|1801851381|1801851381002||||||||||||||||36.74395|-76.24339|Y|AM
6526891877001|||FP||Coulthard|Amy|S|DO|MEMORIAL MEDICAL CENTER|216 SUNSET PLACE|
|NEILLSVILLE|WI|54456|216 Sunset Pl||Neillsville|WI|544561706|7157433101|7157436
:08:31.0Z|U|New|v10_6|1851369144|1851369144001||||||||||||||||44.55651|-90.60678
|Y|AM
6528110003001|||||Blue|Beatrice|||Anchor Hospital|5454 Yorktowne Dr||Atlanta|GA|
303495317|5454 Yorktowne Dr||Atlanta|GA|303495317|7705551616|7705551617|||2013-1
0-15T15:08:45.0Z|2099-12-31T12:00:00.0Z|CIMessage~CIEvent|GreenwayTest106|2013-1
1-14T23:13:52.0Z|U|CIMessage~CIEvent|v10_6|2223456783|2223456783001|Doctor||||||
|||||beatrice.blue@greenway.direct-ci-cert.com||CI EDI||33.60634|-84.45192|Y|AM
6531688953001|||||Choudry|Umaran|H|MD||38935 Ann Arbor Road||Livonia|MI|48150|38
935 Ann Arbor Rd||Livonia|MI|481503397|7356320175|8045947955|||2013-11-14T23:16:
|v10_6|1033375654|1033375654001||||||||||||||||42.35902|-83.426|Y|AM
6532706853003|||||Fuller|Earl|W|MD||205 Business Park Dr., Ste. 200||Virginia Be
ach|VA|23462|205 Business Park Dr|Ste 200|Virginia Beach|VA|234626335|7578895351
sTest|2013-11-14T22:31:31.0Z|U|New|v10_6|1962441444|1962441444003|||||||||||||||
|36.84436|-76.1767|Y|AM
6532798017001|||GS||Alter|Matthew||MD||13460 Tredegar Lake Pkwy|Surgical Associa
tes of Richmond|Midlothian|VA|23114|13460 Tredegar Lake Pkwy||Midlothian|VA|2311
24070|8043790029|8043794418|||2012-03-08T19:15:00.0Z|2014-11-14T05:00:00.0Z|New~
Refill|BonSecoursTest|2013-11-14T22:19:34.0Z|U|New~Refill|v10_6|1558367235|15583
67235001||||||||||||||||37.45259|-77.65526|N|AM
6532948580001|||IM||Paragi|Kavita||MD||3500 15 Mile Road||Sterling Heights|MI|48
310|3500 15 Mile Rd||Sterling Heights|MI|483105353|5869778990|5869776406|||201210-11T18:12:11.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:
41:21.0Z|U|New|v10_6|1417025966|1417025966001||||||||||||||||42.54934|-83.07304|
Y|AM
6534079325001|||||Pierre|Emmanuella||CRNA||Good Samaritan Hospital|255 Lafayette
|2013-11-14T23:25:29.0Z|N||v10_6|1366439911|1366439911001||||||||||||||||41.1119
9|-74.13325|Y|
6534188878001|||||ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZx|ZZZZZZZZZZZZZZZZZZZZZZZZx|
ZZZZZZZZZZZZZZZZZZZZZZZZx||Heal with Steel Health Center|8789 Apple Blossom||Ced
ar Park|TX|78613|8789 Apple Blossom||Cedar Park|TX|78613|5121357901|5128754678||
|2013-11-14T21:25:38.0Z|2033-11-14T21:43:31.0Z|New~Refill|eMDSolutionSeries10.6|
2013-11-14T21:44:22.0Z|N|New|v10_6mu2|9563789343|9563789343001||||||||||||||||30
.52606|-97.81378|N|
6535264835001|AK5913098||||sldprovfiv|ManjQA|||Manju QA leg IL Site2|123 Main St
.|Ste 104|Chicago|IL|60115|123 Main St.||Chicago|IL|60115|3125555555|3125554444|
manjunatha.shadaksharaiah@allscripts.com||2013-02-06T09:12:46.0Z|2099-12-31T00:0
0:00.0Z|New~Refill|PSAllScriptsTest_4x|2013-11-14T07:43:03.0Z|U|New~Refill|v4_20
|1508896507|1508896507001||||||||||||||||41.93212|-88.7533|N|
6535264835002|AK5913098||||sldprovfiv|ManjQA|||Manju QA leg IL Site2|123 Main St
.|Ste 104|Chicago|IL|60115|123 Main St.||Chicago|IL|60115|3125555555|3125554444|
manjunatha.shadaksharaiah@allscripts.com||2013-02-06T09:13:08.0Z|2099-12-31T00:0
0:00.0Z|MedHistory~Eligibility|Allscripts4.0Test|2013-11-14T07:43:05.0Z|U|MedHis
tory~Eligibility|v4_0|1508896507|1508896507002||||||||||||||||41.93212|-88.7533|
N|
6536006120001|||||Glassman|Lawrence||MD||311 North Midland Avenue|Highmount Medi
cal Building|Upper Nyack|NY|10960|311 N Midland Ave||Nyack|NY|109601627|84535328
ursTest|2013-11-14T22:59:23.0Z|U|New|v10_6|1477692440|1477692440001|||||||||||||
|||41.1|-73.92302|Y|AM
6538846364001|||PD||Johnson|Tisa||MD||3031 West Grand Blvd., Suite 800||Detroit|
MI|48202|3031 W Grand Blvd|Ste 800|Detroit|MI|482023141|3139163121|3139167548|||
4T19:43:36.0Z|U|New|v10_6|1134276934|1134276934001||||||||||||||||42.36928|-83.0
7642|Y|AM
6539741002001|||||Reichard|Steven||DO||255 Lafayette Avenue|Good Samaritan Hospi
3-11-14T23:09:03.0Z|U|New|v10_6|1366411456|1366411456001||||||||||||||||41.11199
|-74.13325|Y|AM
6541263771001|||||Murray|Patrick||MD||2 Crosfield Avenue|Suite 422|West Nyack|NY
|10994|2 Crosfield Ave|Ste 422|West Nyack|NY|109942212|8453581000|8453582155|||2
4T23:06:43.0Z|N||v10_6|1043482516|1043482516001||||||||||||||||41.09306|-73.9770
5|Y|AM
6541628635001|||||Chianfagna|Jeff||PA||Good Samaritan Hospital|255 Lafayette Ave
1-14T23:24:03.0Z|N||v10_6|1871671875|1871671875001||||||||||||||||41.11199|-74.1
3325|Y|
6544759916001|||||Schwartzchild|Melissa||MD||7605 FOREST AVE STE 205||RICHMOND|V
A|23229|7605 Forest Ave|Ste 205|Richmond|VA|232294936|8042828510|8042855750|||20
T23:38:37.0Z|N||v10_6|1760421416|1760421416001||||||||||||||||37.60393|-77.54165
|Y|AM
|||||||||40.57671|-111.86159|N|
t|2013-11-14T21:50:05.0Z|N||v10_6|3155929979|3155929979002|PA|||||||||||||||40.5
7671|-111.86159|N|
6545810932001|||||Hoyt|Jennifer|M|MD||2 Bernardine Drive|Mary Immaculate Hospita
l|Newport News|VA|23602|2 Bernardine Dr||Newport News|VA|236024404|7578866271|75
st|2013-11-14T23:57:20.0Z|U|New|v10_6|1811108210|1811108210001||||||||||||||||37
.14445|-76.51118|Y|AM
6545939483001|||||jessie|doc|||AMBQA62|Allscripts Medical Center|8529 Six Forks
Road|Raleigh|NC|276158529|8529 Six Forks Rd||Raleigh|NC|276152963|9198005272|919
7442545|angela.mitchell@allscripts.com||2013-11-14T15:45:33.0Z|2099-12-31T00:00:
00.0Z|New~Refill|AllScripts106|2013-11-14T15:45:33.0Z|N||v10_6mu2|1285706226|128
5706226001||||||||||||||||35.89517|-78.6505|Y|
6546023485001|||||Bermudez|Michael||||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932|1
.0Z|N||v10_6|1649213554|1649213554001||||||||||||||||35.93657|-84.14881|Y|AM
6546645972002|||FP||Bellovin|Sabra|M|MD||3960 Turnpike Road|JenCare|Portsmouth|V
A|23701|3960 Turnpike Rd||Portsmouth|VA|237012938|7573931136|7573935534|||2013-1
27:21.0Z|U|New|v10_6|1902943301|1902943301002||||||||||||||||36.81714|-76.35308|
Y|AM
6546724173001|||||Morgan|Timothy|Gene|DO||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1598792988|1598792988001||||||||||||||||32.81096|-96.83699|Y|
6547122344001|||A||Cooley|Richard|L|MD|PREVEA HEALTH|1821 S WEBSTER AVENUE||GREE
N BAY|WI|54311|1821 S Webster Ave||Green Bay|WI|543012253|9204964700|9204311914|
||2013-08-25T12:31:58.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14
T20:08:50.0Z|U|New|v10_6|1467478503|1467478503001||||||||||||||||44.48701|-88.01
859|Y|AM
6547136138001|AH1314121||||TRAN|RX|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPHASIS
IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||2013-03
-12T13:18:46.0Z|2096-11-14T17:05:48.0Z|New~MedHistory|MedPlusQA4|2013-11-14T17:0
4:00.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6549602723001|||||Ladell|Eliyahu||MD||79 Route 59|Suite 2|Suffern|NY|10901|79 Ro
ute 59|Ste 2|Suffern|NY|109014900|8453684260|8453684265|||2013-11-14T23:03:58.0Z
6|1912013376|1912013376001||||||||||||||||41.1122|-74.12835|Y|AM
6550231438001|||||Simon|Lawrence||MD||11 Medical Park Drive|Suite 203|Pomona|NY|

23:11:54.0Z|N||v10_6|1710045281|1710045281001||||||||||||||||41.16691|-74.03359|
Y|AM
6550589991001|||||Koenig|Karleen||PA||Good Samaritan Hospital|255 Lafayette Ave|
-14T23:24:40.0Z|N||v10_6|1205884293|1205884293001||||||||||||||||41.11199|-74.13
325|Y|
6551602124001|||||NQFE|NQFE|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
9.0Z|N||v10_6mu2|1780743831|1780743831001||||||||||||||||30.37025|-97.73773|Y|
6551757571001|||||Pizon|Eric Provider|||JP Test Practice|Main Street 1|Main stre
et 2|Huntsvilley|AL|358014568|Main Street 1||Huntsville|AL|35801|6107777777|7106
987456|asdf@lksd.com||2013-11-14T16:15:33.0Z|2099-12-31T00:00:00.0Z|New~Refill|A
llScripts106|2013-11-14T16:15:34.0Z|N||v10_6mu2|1689642761|1689642761001||||||||
||||||||34.72728|-86.57079|N|
6552017819001|||||Ukoh|Ini||PA||Good Samaritan Hospital|255 Lafayette Ave|Suffer
n|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685029|8455653395|||201311-14T23:26:11.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:26:11.0Z|N||v10_6|1376695643|1376695643001||||||||||||||||41.11199|-74.13325|Y|
6552229630001|||||O'Bier|April|N|MD||8260 Atlee Road||Mechanicsville|VA|23116|82
60 Atlee Rd||Mechanicsville|VA|231161844|8047646300|8047646300|||2013-11-14T22:2
N||v10_6|1063454551|1063454551001||||||||||||||||37.62877|-77.38642|Y|AM
6552908530002|||PD||ABRAHAM|SEENA||||2 Crosfield Avenue|Suite 208|West Nyack|NY|
T22:53:28.0Z|N||v10_6|1831170976|1831170976002||||||||||||||||41.09306|-73.97705
|Y|AM
6552945068002|we2344234||||maxprescriberlastnamemaxprescriberl|maxprescriberfirs
tnamemaxprescriber|maxprescribermiddlenamemaxprescribe|||Max address max address
maghfh|APT 101 Max Max APT 101Max APT 1012|NEW YORKsdkj kjdhfkjhkdjh kjsdfhkj|N
Y|10001|Max Address Max Address Maghfh||New York|NY|10001|9885336093|9898989898|
prescmaxmaxtestmaxtestmaxtestmaxtestmaxtestmaxtestmaxtestmaxtestmaxt@maxtest.com
||2013-10-15T07:03:46.0Z|2015-11-14T09:30:12.0Z|New~Refill~Cancel|MedWriteTest|2
013-11-14T09:31:23.0Z|U|New~Cancel|v10_6mu2|1932368495|1932368495002||||||||||||
||||40.74892|-73.99133|N|
6553456834001|||||Murden|E|Aubrey Jr.|MD||4020 RAINTREE ROAD|STE C|CHESAPEAKE|VA
|23321|4020 Raintree Rd|Ste C|Chesapeake|VA|233213749|7574882080|7574053025|||20
T22:38:40.0Z|N||v10_6|1497751762|1497751762001||||||||||||||||36.82908|-76.40738
|Y|AM
|v10_6|9951547837|9951547837001|||||||||||||||||||
6553832455001|||||Wardak|Zabihullah||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1700177144|1700177144001||||||||||||||||32.81096|-96.83699|Y|
6555915027001|||||Dawson|George||MD||500 Donnally St Suite 200||Charleston|WV|25
301|500 Donnally St|Ste 200|Charleston|WV|253011600|3043420124|3043402204|||2013
3:31:26.0Z|N||v10_6|1205835568|1205835568001||||||||||||||||38.35433|-81.63224|Y
|AM
6555953598001|||OPH||Hamburger|Lawrence|J.|MD||735 John R||TROY|MI|48083|735 Joh
n R Rd||Troy|MI|480835856|2485443290|2485284040|||2012-10-11T18:07:03.0Z|2014-11
-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:37:43.0Z|U|New|v10_6|1821
158221|1821158221001||||||||||||||||42.54106|-83.10812|Y|AM
|||||||||40.57671|-111.86159|N|
6556611062001|||IM||Scher|Eric||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2799
W Grand Blvd||Detroit|MI|482022608|3139169100|3139162837|||2012-10-11T18:08:46.
v10_6|1487722914|1487722914001||||||||||||||||42.36731|-83.08504|Y|AM
6556697061002|||OTO||Ghanem|Tamer||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2
ew|v10_6|1023185394|1023185394002||||||||||||||||42.36731|-83.08504|Y|AM
6556837113001|||||Ayers|Frederick||MD||255 Lafayette Avenue|Good Samaritan Hospi
3-11-14T22:54:08.0Z|U|New|v10_6|1326017401|1326017401001||||||||||||||||41.11199
|-74.13325|Y|AM
6558461342011|||||FRANCO|ISRAEL||||150 White Plains Road|Suite 306|White Plains|
NY|10591|150 White Plains Rd|Ste 306|Tarrytown|NY|105915521|9144938628|914493856
-11-14T22:58:41.0Z|N||v10_6|1093744567|1093744567011||||||||||||||||41.06355|-73
.85573|Y|
6559291334001|||||Peng|Angela||MD||1250 E Marshall Street|PO Box 980146|Richmond
|VA|23298|1250 E Marshall St||Richmond|VA|232985051|8048283965|8048283045|||2013
3:34:51.0Z|N||v10_6|1164623559|1164623559001||||||||||||||||37.53987|-77.42977|Y
|
6560281985001|AB1649005||||AllinfoAllinfoAllinfoAllinfoAllinfo|JulietteJulietteJ
ulietteJulietteeee||||123456789 123456789 123456789 12345||123456789 123456789 1
23456789 12345|NY|110421234|123456789 123456789 123456789 12345||New Hyde Park|N
Y|11042|8772273405|8775422731|||2013-11-08T15:45:43.0Z|2099-09-19T12:00:00.0Z|Ne
w~Refill~Change~Cancel|CoPilotTest|2013-11-14T16:30:43.0Z|U|New~Change~Cancel|v1
0_6mu2|1225028830|1225028830001||||||||||||||||40.75855|-73.69797|N|
6561727598001|||||Oberle|Robert|Joseph|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1215148028|1215148028001||||||||||||||||32.81096|-96.83699|Y|
6562917016001|||||Baez|Bernard||MD||255 Lafayette Avenue|Good Samaritan Hospital
1-14T22:54:12.0Z|U|New|v10_6|1053393751|1053393751001||||||||||||||||41.11199|-7
4.13325|Y|AM
6564135096001|ms7452156||||Schreiner|Matt|||Anchor Hospital|5454 Yorktowne Drive
||Atlanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|7702581414|678522
5151|||2013-11-14T20:48:07.0Z|2099-12-31T12:00:00.0Z|New~Refill|GreenwayTest106|
2013-11-14T20:48:08.0Z|N||v10_6|1234565558|1234565558001||||||||255741852|||||||
|33.60634|-84.45192|Y|
6564799925001|||||Hebert|Emmy||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 H
6|1033390018|1033390018001||||||||||||||||32.81096|-96.83699|Y|
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T09:54:17.0Z|201
n||||||||||AM
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T09:54:19.0Z|201
n||||||||||AM
6565770024001|||FP||Hamed|Mustafa||MD||3370 East Jefferson||Detroit|MI|48207|337
0 E Jefferson Ave||Detroit|MI|482074236|3136561600|3136561610|||2012-10-11T18:13
New|v10_6|1366600280|1366600280001||||||||||||||||42.34214|-83.01322|Y|AM
6566447400002|||GP||Guinand|Richard||||705NBATLEFLD BLVD103||CHESAPEAKE|VA|23320
|705NBATLEFLD BLVD103||Chesapeake|VA|23320|7578197177|7578197178|||2013-11-14T23
Z|N||v10_6|1649235854|1649235854002||||||||||||||||36.7674|-76.2346|N|AM
6568217536001|||AN||Wenck|Mark|Eric|MD|GREEN BAY ANESTHESIA ASSOCIATES SC|835 S
Van Buren St||GREEN BAY|WI|54303|835 S Van Buren St||Green Bay|WI|543013526|9204
330111|9204313082|||2013-08-25T14:17:36.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest
|2013-11-14T20:09:07.0Z|U|New|v10_6|1639153646|1639153646001||||||||||||||||44.5
0115|-88.01229|Y|AM
6569178232001|||||Diaz Flores|Rafael|Felipe|MD||5201 HARRY HINES BLVD||DALLAS|TX
|75235|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-0
6-13T14:58:28.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:43:04.
0Z|U|New|v10_6|1619056561|1619056561001||||||||||||||||32.81096|-96.83699|Y|
6569606440002|||OS||Gross|Barry||||401 Oyster Point Rd|Suite A|NEWPORT NEWS|VA|2
3602|401 Oyster Point Rd|Ste A|Newport News|VA|236026926|7572493000|7572694424||
-14T23:54:53.0Z|N||v10_6|1235193210|1235193210002||||||||||||||||37.10612|-76.50
814|Y|AM
6569948659001|||||Adler|Steven||DPM||169 North Middletown Road||Pearl River|NY|1
0956|169 N Middletown Rd||Pearl River|NY|109652057|8457357234|8457353440|||201311-14T22:53:33.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22
:53:33.0Z|N||v10_6|1972593994|1972593994001||||||||||||||||41.06577|-74.01292|Y|
6569985810001|||||Washington-Moore|Rubye||MD||909 Hioaks Rd SE||Richmond|VA|2322
5|909 Hioaks Rd||Richmond|VA|232254038|8043233051|2568781742|||2013-11-14T22:22:
|v10_6|1114848270|1114848270001||||||||||||||||37.51315|-77.52422|Y|AM
6571913420001|||||Reddings|Joann||NP||Good Samaritan Hospital|255 Lafayette Ave.
1-14T23:25:47.0Z|N||v10_6|1962528471|1962528471001||||||||||||||||41.11199|-74.1
3325|Y|
6571956890001|||||Mitchell|Angela Green|||AMBDEV62|Allscripts Medical CEnter|852
9 Six Forks Road|Raleigh|NC|276158529|8529 Six Forks Rd||Raleigh|NC|276152963|91
98005272|9197442545|agm@yahoo.com||2013-11-14T16:27:20.0Z|2099-12-31T00:00:00.0Z
|New~Refill|AllScripts106|2013-11-14T16:27:20.0Z|N||v10_6mu2|1932148954|19321489
54001||||||||||||||||35.89517|-78.6505|Y|
6572751439001|||PD||Moudgal|Manini||MD||3031 West Grand Blvd., Suite 800||Detroi
t|MI|48202|3031 W Grand Blvd|Ste 800|Detroit|MI|482023141|3139163121|3139167548|
||2012-10-11T18:15:25.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11
-14T19:45:45.0Z|U|New|v10_6|1487855508|1487855508001||||||||||||||||42.36928|-83
.07642|Y|AM
6573266502001|||||Schechter|Andrew||MD||255 Lafayette Avenue|Good Samaritan Hosp
13-11-14T23:10:26.0Z|U|New|v10_6|1366411464|1366411464001||||||||||||||||41.1119
9|-74.13325|Y|AM
6573642298001|||||Robinson|Michael||MD||327 Route 59|Suite 2|Airmont|NY|10952|32
7 Route 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T23:09:2

v10_6|1699768069|1699768069001||||||||||||||||41.11002|-74.09595|Y|
6574132745001|AA6633223|||DR.|NO NPI|ANDREA||MD|Andrea NPI Test|4690 PARKWAY||MA
SON|TN|45040|4690 Parkway Dr||Mason|OH|450408172|5134447878|5136669958|||2013-06
-21T14:38:48.0Z|2096-11-14T15:48:07.0Z|New~Refill~MedHistory~Eligibility|MedPlus
Test3|2013-11-14T15:48:03.0Z|U|New~MedHistory~Eligibility|v10_6mu2|3657894564|36
57894564001||||||||||||||||39.30378|-84.30983|Y|
6574475458002|||US||WOLFF|CHARLES||||2 Crosfield Avenue|Suite 302|West Nyack|NY|
T23:14:36.0Z|N||v10_6|1407875966|1407875966002||||||||||||||||41.09306|-73.97705
|Y|AM
6574667750001|BA4424583||||Allen|Evan|||Bathinda|#13426 CA||GREjhjh|CT|15111|#13
426 CA||Grejhjh|CT|15111|6326890000x56723|3455315441|hdjjjssk@yahoo.com||2013-11
-14T16:03:41.0Z|2099-12-31T05:00:00.0Z|New~Refill|DrFirstWW0Test4x|2013-11-14T16
:03:41.0Z|N||v4_20|1861495806|1861495806001|||||||||||||||||||
6575176444001|||||Reis|Stephen|Phillips|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1003182064|1003182064001||||||||||||||||32.81096|-96.83699|Y|
6576570876001|||||Kram|Michael||MD||500 New Hempstead Road||New City|NY|10956|50
0 New Hempstead Rd||New City|NY|109561132|8453623200|8453624464|||2013-11-14T23:
|N||v10_6|1245234830|1245234830001||||||||||||||||41.14964|-74.03305|Y|AM
6577402335001|||||Williams|Thomas||DMD||609 Main Street|P.O. Box 327|Sparkill|NY
|10976|609 Main St||Sparkill|NY|109761209|8453590288|8453596022|||2013-11-14T23:
|N||v10_6|1457376840|1457376840001||||||||||||||||41.02845|-73.92854|Y|
6577761912001|||US||Conway|William|A|MD||39450 W. 12 Mile Rd., 3rd Floor||NOVI|M
I|48377|39450 W 12 Mile Rd|Fl 3|Novi|MI|483773600|2486616475|2483442492|||2012-1
7:38.0Z|U|New|v10_6|1902929037|1902929037001||||||||||||||||42.49805|-83.43774|Y
|AM
6577849370001|||||Brunner|Catherine||ANP||Good Samaritan Hospital|Suite 1200|Pom
ona|NY|10970|Good Samaritan Hospital||Pomona|NY|10970|8453685029|8453623972|||20
T23:23:52.0Z|N||v10_6|1073694261|1073694261001||||||||||||||||41.1845|-74.04433|
N|
6578761210001|||||Xiong|Tiexin||MD||255 Lafayette Avenue|Good Samaritan Hospital
1-14T23:14:42.0Z|U|New|v10_6|1558472662|1558472662001||||||||||||||||41.11199|-7
4.13325|Y|AM
6579740732002|||N||ZHU|QINGYAN||||15154 Carrollton Blvd|Ste A, Neurology & Acupu
ncture|Carrollton|VA|23314|15154 Carrollton Blvd|Ste A|Carrollton|VA|233142316|7
577457555|7577457559|||2013-11-14T22:45:55.0Z|2014-11-14T05:00:00.0Z|New~Refill|
BonSecoursTest|2013-11-14T22:45:55.0Z|N||v10_6|1962422022|1962422022002|||||||||
|||||||36.93276|-76.52608|Y|AM
6580148503001|||FP||Allard|Raymond|D|MD||26300 S. Woodward Ave||Royal Oak|MI|480
67|26300 Woodward Ave||Royal Oak|MI|480670917|2485462110|2485468176|||2012-10-02
.0Z|U|New~Refill|v10_6|1760556377|1760556377001||||||||||||||||42.48504|-83.1539
5|Y|AM
6580290008001|||||Doster|John|E|||2000 E. GREENVILLE STREET|SUITE 5000|GREENVILL
E|SC|29615|2000 E. Greenville Street||Greenville|SC|29615|8642245765|8642241449|
1-14T23:37:01.0Z|N||v10_6|1982670147|1982670147001||||||||||||||||34.86065|-82.3
0825|N|AM
6582541721001|||||Dixon|James|G|||825 FAIRFAX AVE #445||NORFOLK|VA|23507|825 Fai
rfax Ave|# 445|Norfolk|VA|235071914|7574468920|7574465196|||2013-11-14T23:49:43.

0_6|1609849272|1609849272001||||||||||||||||36.86038|-76.3036|Y|AM
6582929017001|||||Leder|Michele||MD||190 North Middletown Rd.||Pearl River|NY|10
965|190 N Middletown Rd||Pearl River|NY|109652028|8457353883|8457355554|||2013-1
04:26.0Z|N||v10_6|1992771877|1992771877001||||||||||||||||41.06639|-74.01234|Y|A
M
6583044261002|||||BLOOM|PAUL||||6 MELNICK DR|MONSEY CLINIC|Monsey|NY|10952|6 Mel
nick Dr||Monsey|NY|109523370|8453526800|8453527292|||2013-11-14T22:55:31.0Z|2014
7433920|1467433920002||||||||||||||||41.11121|-74.0613|Y|
6583066256001|||||Mukherjee|Akta||MD||2384 Colony Crossing Place|VA Endocrinolog
y Osteoporosis|Midlothian|VA|23114|2384 Colony Crossing Pl||Midlothian|VA|2311
24280|8044233636|8044233637|||2013-11-12T20:06:49.0Z|2014-11-14T05:00:00.0Z|New~
Refill|BonSecoursTest|2013-11-14T22:23:39.0Z|U|New|v10_6|1619084753|161908475300
1||||||||||||||||37.4584|-77.65589|Y|AM
6583131431003|||CD||Radoslovich|Glauco||MD||20 Prospect Avenue|Suite 701|Hackens
ack|NJ|76011|20 Prospect Ave|Ste 701|Hackensack|NJ|076011963|2019962997|84536855
3-11-14T23:08:36.0Z|U|New|v10_6|1598732935|1598732935003||||||||||||||||40.88392
|-74.05787|Y|AM
6584000900001|||||Zucker|Albert||MD||505 Route 208||Monroe|NY|10950|505 State Ro
ute 208||Monroe|NY|109501608|8457826092|8457827926|||2013-11-14T23:15:14.0Z|2014
0256239|1740256239001||||||||||||||||41.34746|-74.19061|Y|AM
6584214194001|||||Smith|Gerry|N|MD||3315 High Street||PORTSMOUTH|VA|23707|3315 H
igh St||Portsmouth|VA|237073319|7573917394|7573998247|||2013-11-14T22:42:45.0Z|2
1215991377|1215991377001||||||||||||||||36.83393|-76.34281|Y|AM
6585014163001|||OBG||Draak|Kerin|B|APNP||1821 S. WEBSTER AVE||GREEN BAY|WI|54301
|1821 S Webster Ave||Green Bay|WI|543012253|9204361360|9204361379|kerind@prevea.
com||2013-08-25T13:48:35.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11
-14T20:09:22.0Z|U|New|v10_6|1164441549|1164441549001||||||||||||||||44.48701|-88
.01859|Y|AM
is|2013-11-14T06:47:28.0Z|D|New|v10_6|1922063551|1922063551001||||||||||||||||29
.47159|-98.60189|Y|
6586576030001|||||Liu|Patrick||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 H
6|1366708398|1366708398001||||||||||||||||32.81096|-96.83699|Y|
6586794862001|||IM||Anderson|David||MD||2799 West Grand Blvd.||DETROIT|MI|48202|
New|v10_6|1710055249|1710055249001||||||||||||||||42.36731|-83.08504|Y|AM
6587656094001|||||NQFH|NQFH|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
6.0Z|N||v10_6mu2|2047637378|2047637378001||||||||||||||||30.37025|-97.73773|Y|
6588228935002|||GP||Powell|Raleigh||||5000 cox road suite 100||glen allen|VA|230
60|5000 Cox Rd|Ste 100|Glen Allen|VA|230609263|8049685700|8042177991|||2013-11-1
56.0Z|N||v10_6|1003877416|1003877416002||||||||||||||||37.67295|-77.56805|Y|AM
6588889454002|||IM||CURULLA|RICHARD||||1925 Glenn Mitchell Dr.|Suite 202|VA BEAC
H|VA|23456|1925 Glenn Mitchell Dr|Ste 202|Virginia Beach|VA|234560177|7575070900
sTest|2013-11-14T23:48:07.0Z|N||v10_6|1265405393|1265405393002||||||||||||||||36
.77715|-76.09717|Y|AM
6589225112001|||OBG||Davidson|Brent|N.|MD||6777 West Maple Road||WEST BLOOMFIELD
4T19:38:33.0Z|U|New|v10_6|1336216480|1336216480001||||||||||||||||42.53865|-83.4
0706|Y|AM
6589311946001|||PD||Schenberg|Brian||MD||5801 Bremo Road - PICU||Richmond|VA|232
26|5801 Bremo Rd||Richmond|VA|232261907|8042818222|8042818007|||2012-03-07T00:43
:46.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:21:21.0Z|U
|New~Refill|v10_6|1639115389|1639115389001||||||||||||||||37.5843|-77.51269|Y|AM
6589806648001|||||Di Pascuale|Mario|Antonio|MD||5201 HARRY HINES BLVD||DALLAS|TX
2-22T18:25:17.0Z|2013-11-14T11:44:17.0Z||ParklandTest4.2|2013-11-14T11:44:17.0Z|
D||v10_6|1003075094|1003075094001||||||||||||||||32.81096|-96.83699|Y|
6590718519002|||PD||Harrington|Arlene||MD||5955 Harbour Park Drive|Chesterfield
Pediatrics|Midlothian|VA|23112|5955 Harbour Park Dr||Midlothian|VA|231122163|804
nSecoursTest|2013-11-14T22:18:45.0Z|U|New~Refill|v10_6|1831126382|1831126382002|
|||||||||||||||37.41372|-77.64719|Y|AM
6591483162001|||EM||Elsner|Joseph|L|DO|DURAND FAMILY CLINIC|905 7TH AVENUE W||DU
RAND|WI|54736|905 7th Ave W||Durand|WI|547361755|7156725981|7156723457|||2013-09
-16T15:18:28.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2013-11-14T20:09:30.0Z|U|N
ew|v10_6|1245207604|1245207604001||||||||||||||||44.62151|-91.96309|Y|AM
6591687309003|||||Blair|Shawn||||751 J.CLYDE MORRIS||NEWPORT NEWS|VA|23601|751 J
Clyde Morris Blvd||Newport News|VA|236011538|7575961900|7575918560|||2013-11-14
9.0Z|N||v10_6|1598735581|1598735581003||||||||||||||||37.07955|-76.46305|Y|
6592464823001|||IM||Burris|Allen||MD||348 Brown's Hill Court|Virginia Diabetes &
Endocrinology|Midlothian|VA|23114|348 Browns Hill Ct||Midlothian|VA|231149511|8
042722702|8042729355|||2012-03-08T19:14:18.0Z|2014-11-14T05:00:00.0Z|New~Refill|
BonSecoursTest|2013-11-14T22:19:12.0Z|U|New~Refill|v10_6|1487646485|148764648500
1||||||||||||||||37.50062|-77.63947|Y|AM
6592609039001|||||Elsass|Kelcey|D|||5995 OPUS PKWY., STE||MINNETONKA|MN|55343|59
v10_6|1083699508|1083699508001||||||||||||||||44.89667|-93.40747|Y|AM
6593526687001|||ORS||Higgs|Geoffrey||MD||7858 Shrader Road|Advanced Orthopaedic
Centers|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|8042
|2013-11-14T22:17:54.0Z|U|New~Refill|v10_6|1548236748|1548236748001|||||||||||||
|||37.62635|-77.5264|Y|AM
6593567360004|123456789||FP||ADAMS|Benjamin|||M3 Clinic Name|1930 East Via Linda
||BARBOURSVILLE|WV|25504|1930 East Via Linda||Barboursville|WV|25504|3047360825|
9198513837|||2012-10-16T21:03:38.0Z|2099-12-31T00:00:00.0Z|New~Refill|MED3000_MB
106|2013-11-14T18:08:02.0Z|U|New|v10_6|1234567893|1234567893004|Doctor|||||G1921
4||||||||||38.39437|-82.28274|N|AM
6594270749001|||||Smith|Charles|E II|MD||200 Patewood Drive|Greenville ENT Assoc
iates, B-400|Greenville|SC|29615|200 Patewood Dr||Greenville|SC|296153593|864454
|||||34.85436|-82.32464|Y|AM
6594553797002|||||NOTO|RICHARD||||New York Medical College||Valhalla|NY|10595|Ne
w York Medical College||Valhalla|NY|10595|9143663400|9143663407|||2013-11-14T23:
|N||v10_6|1891795647|1891795647002||||||||||||||||41.08549|-73.78178|N|
6595128094001|||||Bonam|Sri|Ranga|MD||1 Medical Park Drive||Pomona|NY|10970|1 Me
_6|1659444800|1659444800001||||||||||||||||41.16664|-74.03324|Y|AM
6595411326001|||||Gore|David|L|MD||109 PHILIP ROTH ST||NEWPORT NEWS|VA|23606|109
Philip Roth St||Newport News|VA|236061393|7578736434|7578731882|||2013-11-14T22

Z|N||v10_6|1215035365|1215035365001||||||||||||||||37.08521|-76.48872|Y|AM
6599084600001|||||Lee|Debra|A|MD||704 THIMBLE SHOALS BLVD|STE 300 B|NEWPORT NEWS
|VA|23606|704 Thimble Shoals Blvd|Ste 300|Newport News|VA|236064544|7575957634|7
est|2013-11-14T22:45:35.0Z|N||v10_6|1639196629|1639196629001||||||||||||||||37.0
8461|-76.47468|Y|
6599173302002|||FP||Brunson|Jack|Wade|MD||398 The Parkway|Mountain View Family M
ed|Greer|SC|29650|398 the Pkwy||Greer|SC|296504569|8648779577|8648779073|||201311-14T22:16:01.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22
:16:01.0Z|N||v10_6|1316918253|1316918253002||||||||||||||||34.86995|-82.25559|Y|
AM
6599431247001|||||Pierce|Kenneth|||SOUTHWEST MEDICAL ASSOCIATES|2704 N Tenaya Wa
y||Las Vegas|NV|89128|2704 N Tenaya Way||Las Vegas|NV|891280424|8086526060|88855
51212|kenneth.pierce@uhc.com||2013-11-14T17:41:10.0Z|2099-12-31T23:59:59.0Z|New|
Optumtest4.20|2013-11-14T17:42:16.0Z|N|New|v10_6mu2|1669577128|1669577128001||||
||||||||||||36.20895|-115.24862|Y|
6599587527001|||FP||Astin|William|D|MD|WMA Midtown Med Ctr|308 8th Street||BRIST
OL|TN|37620|308 8th St|Ste A|Bristol|TN|376202387|4238446860|4238440613|||2013-0
8-15T16:02:50.0Z|2014-11-14T05:00:00.0Z|New~Refill|Wellmont10.6|2013-11-14T07:00
:11.0Z|U|New|v10_6|1356310759|1356310759001||||||||||||||||36.5917|-82.18696|Y|A
M
6599934539001|||||Nalaboff|Kenneth||MD||695 Dutchess Turnpike #105||Poughkeepsie
|NY|12603|695 Dutchess Tpke|Ste 105|Poughkeepsie|NY|126036443|8886475979|8888470
13-11-14T23:06:53.0Z|N||v10_6|1417902883|1417902883001||||||||||||||||41.6988|-7
3.88263|Y|AM
6600396017002|||PD||Dry|Christie||||119 Bulifants Blvd||Williamsburg|VA|23188|11
9 Bulifants Blvd||Williamsburg|VA|231885747|7575647337|7575643205|||2013-11-14T2
0Z|N||v10_6|1689623084|1689623084002||||||||||||||||37.33392|-76.73558|Y|AM
6600617925001|||||Keverline|Michael|R|MD||3206 CHURCHLAND BLVD||CHESAPEAKE|VA|23
321|3206 Churchland Blvd||Chesapeake|VA|233215206|7574840101|7574840515|||2013-1
35:03.0Z|N||v10_6|1962401612|1962401612001||||||||||||||||36.86621|-76.40667|Y|A
M
6600890894001|||||Lin|Judy||MD||222 Route 59|Suite 302|Suffern|NY|10901|222 Rout
e 59|Ste 302|Suffern|NY|109015208|8453680100|8453683866|||2013-11-14T23:04:59.0Z
6|1942207600|1942207600001||||||||||||||||41.11288|-74.11188|Y|AM
6601305025001|||||Bland|Ross|Edward|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1437442472|1437442472001||||||||||||||||32.81096|-96.83699|Y|
6601649588001|||IM||Block-Schreiber|Michelle||MD||2799 West Grand Blvd.||Detroit
|MI|48202|2799 W Grand Blvd||Detroit|MI|482022608|3139162436|3139169102|||2012-1
9:19.0Z|U|New|v10_6|1245308774|1245308774001||||||||||||||||42.36731|-83.08504|Y
|AM
286448001|||||||||||||||||||
6602855481001|||OBG||Simon-Jones|Sylvia||MD||19401 Hubbard Drive||Dearborn|MI|48
126|19401 Hubbard Dr||Dearborn|MI|481262641|3139828243|3139828686|||2012-10-11T1
Z|U|New|v10_6|1790852168|1790852168001||||||||||||||||42.31962|-83.22818|Y|AM
6603498182002|||||Crawford|Heath|Taylor|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1821314881|1821314881002||||||||||||||||32.81096|-96.83699|Y|
565127001|||||||||||||||||||
6604585037001|||US||Alam|Zarina||MD||2799 West Grand Blvd.||DETROIT|MI|48202|279
|v10_6|1811010135|1811010135001||||||||||||||||42.36731|-83.08504|Y|AM
6605651739001|||||Kerner|Dawnielle|J|MD||160 Kingsley Ln #300|Glaucoma & Laser C
enter, P.C.|Norfolk|VA|23505|160 Kingsley Ln|Ste 300|Norfolk|VA|235054600|757440
|||||36.89899|-76.2824|Y|AM
6606692344001|||||Stavis|Donald||MD||255 Lafayette Avenue|Good Samaritan Hospita
6607298406001|||||Olsen|Drew||MD||Good Samaritan Hospital|255 Lafayette Ave|Suff
ern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|2018333020|2018333758|||201
23:07:14.0Z|N||v10_6|1215971908|1215971908001||||||||||||||||41.11199|-74.13325|
Y|AM
6609280642001|||||Berth|Flora|||Gastro Clinic center|New Leo Lane||San Diego|CA|
25485|New Leo Lane||San Diego|CA|25485|6198547582|6198547583|||2013-11-14T09:01:
27.0Z|2013-11-14T09:09:31.0Z||MedicalOfficeSolutions10.6|2013-11-14T09:09:31.0Z|
D|New~Change~Cancel~MedHistory~CIMessage~CIEvent|v10_6mu2|2548527854|25485278540
01|Doctor|||||||||||flora@adaptamed.direct-ci-cert.com|||24445||||NU
6609500098002|||||GOMEZ|FRANCISCO||||257 Lafayette Ave.|Suite 330|Suffern|NY|109
59:46.0Z|N||v10_6|1245287234|1245287234002||||||||||||||||41.11222|-74.13531|Y|
6609895472002|||ID||Cecil|Jane||||1101 E MARSHALL ST VCUHS||Richmond|VA|23298|11
01 E Marshall St||Richmond|VA|232985048|8048289711|8048283097|||2013-11-14T23:45
||v10_6|1720027626|1720027626002||||||||||||||||37.54038|-77.43122|Y|AM
6611621429001|||OBG||Lewis|Marc|C.|MD||19401 Hubbard Drive||Dearborn|MI|48126|19
w|v10_6|1346317716|1346317716001||||||||||||||||42.31962|-83.22818|Y|AM
6612597594001|||GP|Dr.|Jefferson|Gordon|T||Professional Park|100 Professional Pa
rk||Carrollton|GA|30117|100 Professional Pl|Ste 202|Carrollton|GA|301173802|7708
326640|7708329432|jtaylorgordon123@earthlink.com||2013-09-12T21:43:58.0Z|2099-12
-31T00:00:00.0Z|New~CIMessage~CIEvent|GreenwayTest106|2013-11-14T19:15:47.0Z|U|N
ew~CIMessage~CIEvent|v10_6|1336167816|1336167816001|Doctor|||||||||||taylor.gord
on@greenway.direct-ci-cert.com||CI EDI||33.57127|-85.07465|Y|AM
6612727589001|||||resident|test|||NHCHeRxT|2201 Hempstead Tpke||East Meadow|NY|1
1554|2201 Hempstead Tpke||East Meadow|NY|115541859|5165720123|5165725792|61res1@
numc.edu||2013-11-14T14:43:51.0Z|2099-12-31T00:00:00.0Z|New~Refill|AllScripts106
|2013-11-14T14:43:51.0Z|N||v10_6mu2|1992068175|1992068175001||||||||||||||||40.7
2539|-73.55441|Y|
6612948880001|||||Weingarten|Marvin||MD||255 Lafayette Avenue|Good Samaritan Hos
pital|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685196|845368
013-11-14T23:14:05.0Z|U|New|v10_6|1801865902|1801865902001||||||||||||||||41.111
99|-74.13325|Y|
6612973696002|BL4135225|||DR.|LUGO|TONY|||Phoenix EHR Org|3492 EHR RD||MASON|OH|
45040|3492 Ehr Rd||Mason|OH|45040|5138882910|5138882911|||2012-04-11T12:25:47.0Z
|2096-11-14T20:17:56.0Z|New~Refill~Change~MedHistory|MedPlusQA2|2013-11-14T20:16
:07.0Z|U|New~Refill~Change~MedHistory|v4_20|2235354653|2235354653002||||||||||||
|||||||
6612973696003|BL4135225|||DR.|LUGO|TONY|||Phoenix ePre Org|3828 EPRE RD||MASON|O
H|45040|3828 Epre Rd||Mason|OH|45040|5139028839|5139028840|||2012-04-11T12:25:49
.0Z|2096-11-14T20:17:55.0Z|New~Refill~Change~MedHistory|MedPlusQA2|2013-11-14T20
:16:06.0Z|U|New~Refill~Change~MedHistory|v4_20|2235354653|2235354653003|||||||||
||||||||||
6613199531001|||||Zerkle|Brent||||1101 Hospital Dr Unit C||Hurricane|WV|25526|11
01 Hospital Dr|Unit C|Hurricane|WV|255268711|3047574515|3047574517|||2013-11-14T
.0Z|N||v10_6|1295875003|1295875003001||||||||||||||||38.44744|-81.95155|Y|
436286001|||||||||||||||||||
6613985228002|||||Reddy|Satish||||1 Medical Park Drive|Suite 2A|Pomona|NY|10970|
1 Medical Park Dr|Ste 2A|Pomona|NY|109703516|8453625600|8453625616|||2013-11-14T
.0Z|N||v10_6|1639144371|1639144371002||||||||||||||||41.16664|-74.03324|Y|
6614267063001|MS0999411||||Edwards|Rebecca|||Sood Hospital|Near Holy Angels Scho
ol||VPO Shamshi|MD|21401|Near Holy Angels School||Annapolis|MD|21401|9915333127x
12345|9915333127|asood_provider@seasiainfotech.com||2013-09-17T15:25:03.0Z|209912-31T04:00:00.0Z|New~Refill~ControlledSubstance|DrFirst106DevRcopia|2013-11-14T
15:17:02.0Z|U|New~ControlledSubstance|v10_6|1053331272|1053331272001||||||||||||
||||38.98323|-76.52982|N|
269005001|||||||||||||||||||
is|2013-11-14T06:48:10.0Z|D|New|v10_6|1922063548|1922063548001||||||||||||||||29
.47159|-98.60189|Y|
6615877928001|||N||Chandok|Arun||MD||2825 Livernois||TROY|MI|48083|2825 Livernoi
s Rd||Troy|MI|480831214|2486806086|2485282299|||2012-10-11T18:14:12.0Z|2014-11-1
3761|1023183761001||||||||||||||||42.56009|-83.14866|Y|AM
6615934174001|||||Book|Samuel||MD||575 Hudson Valley Avenue||New Windsor|NY|1255
3|575 Hudson Valley Ave||New Windsor|NY|125534747|8452202200|8452202249|||2013-1
55:42.0Z|N||v10_6|1215928619|1215928619001||||||||||||||||41.48377|-74.10155|Y|A
M
6616653750001|||||Chen|Yue||MD||255 Lafayette Avenue|Good Samaritan Hospital|Suf
fern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|8453685327|||20
T22:56:17.0Z|U|New|v10_6|1649228024|1649228024001||||||||||||||||41.11199|-74.13
325|Y|AM
6616973049001|||||Sanfilippo|Marlene||CRNA||5A Medical Park Drive|255 Lafayette
2013-11-14T23:25:54.0Z|N||v10_6|1336275155|1336275155001||||||||||||||||41.11199
|-74.13325|Y|
6619125357002|||||Engar|Colby|Scott|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1659518678|1659518678002||||||||||||||||32.81096|-96.83699|Y|
6620612377002|||OBG||Price|Stephen|W|MD||2 Memorial Medical Dr|Greenville OB/GYN
Associates|Greenville|SC|29605|2 Memorial Medical Dr||Greenville|SC|296054450|8
642954210|8642867510|||2013-11-12T19:46:55.0Z|2014-11-14T05:00:00.0Z|New~Refill|
||||||||||34.81687|-82.42139|Y|AM
6621226755001|||||Conley|Christine|M|||4844 GEO WASH HWY #8||WHITE MARSH|VA|2318
3|4844 Geo Wash Hwy #8||White Marsh|VA|23183|8046930042|8046930625|||2013-11-14T
.0Z|N||v10_6|1477660314|1477660314001||||||||||||||||37.34186|-76.52027|N|AM
6622326737005|||||Chacko|Bijo||MD||255 Lafayette Avenue|Good Samaritan Hospital|
-14T22:55:57.0Z|U|New|v10_6|1972679447|1972679447005||||||||||||||||41.11199|-74
.13325|Y|AM
6622551740001|RE7894545|iou456|||S|Aksha|||V3|ZZ 15||NEW YORK|NY|10003|Zz 15||Ne
w York|NY|10003|7894566666|7889797978|a@yahoo.com||2011-11-14T10:44:19.0Z|2013-1
1-14T10:11:19.0Z|New~Refill|Medwritetest4.20|2011-11-14T10:44:19.0Z|D|New|v4_20|
1234567890|1234567890001|||||||||||||||||||
6622675109002|||||SANDOVAL|CLAUDIO||||New York Medical College||Suffern|NY|10901
|New York Medical College||Suffern|NY|10901|9144937997|9145944022|||2013-11-14T2
0Z|N||v10_6|1295722999|1295722999002||||||||||||||||41.12422|-74.10845|N|
6622721499001|||PMD||Malo|Brett|J|MD|PREVEA HEALTH|3021 VOYAGER DRIVE||GREEN BAY
|WI|54311|3021 Voyager Dr||Green Bay|WI|543118303|9202721611|9202721621|||2013-0
8-25T13:53:41.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:09:5
3.0Z|U|New|v10_6|1578706255|1578706255001||||||||||||||||44.48659|-87.93167|Y|AM
6623623132001|||||Moccia|Richard||MD||974 Route 45||Pomona|NY|10970|974 Route 45
||Pomona|NY|109703520|8453543700|8453545439|||2013-11-14T23:06:24.0Z|2014-11-14T
|1780757435001||||||||||||||||41.1696|-74.03207|Y|AM
6624261734001|||||Shah|Rasesh|M|MD||397 Little Neck Road, Suite 120||Virginia Be
ach|VA|23452|397 Little Neck Rd|Ste 120|Virginia Beach|VA|234525774|7574705570|7
est|2013-11-14T22:42:15.0Z|U|New|v10_6|1639140056|1639140056001||||||||||||||||3
6.84283|-76.09177|Y|AM
6624824143001|||||Sebastian|Sydna||CRNA||Good Samaritan Hospital|255 Lafayette A
venue|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|845368
013-11-14T23:26:00.0Z|N||v10_6|1184955148|1184955148001||||||||||||||||41.11199|
-74.13325|Y|
6625226702001|||US||Jennings|Jeffrey||MD||24555 Haig Road||Taylor|MI|48180|24555
Haig St||Taylor|MI|481803322|3133752000|3133752140|||2013-02-27T22:38:14.0Z|201
4-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:44:17.0Z|U|New|v10_6|
1558439091|1558439091001||||||||||||||||42.2367|-83.27328|Y|AM
|v10_6|9946321784|9946321784001|||||||||||||||||||
6626775921001|||||Best|Heidi|A|||600 GRESHAM DR #304||NORFOLK|VA|23507|600 Gresh
am Dr|# 304|Norfolk|VA|235071904|7576863525|7576860541|||2013-11-14T23:42:23.0Z|
|1841450863|1841450863001||||||||||||||||36.86266|-76.30352|Y|AM
6626824406001|||||NQFA|NQFA|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
6.0Z|N||v10_6mu2|2012076685|2012076685001||||||||||||||||30.37025|-97.73773|Y|
6628085683002|||GP||Ellis|Natalie||||600 CRAWFORD ST #400||PORTMOUTH|VA|23704|60
0 Crawford St|Ste 400|Portsmouth|VA|237043820|7576061188|7576061185|||2013-11-14
1.0Z|N||v10_6|1770593634|1770593634002||||||||||||||||36.83485|-76.29793|Y|AM
6628808126001|||||Peck|Harvey||MD||255 Lafayette Avenue|Good Samaritan Hospital|
-14T23:07:44.0Z|U|New|v10_6|1215901269|1215901269001||||||||||||||||41.11199|-74
.13325|Y|AM
6629034706002|||||Bava|Joseph|V|||2008 General Booth Blvd|Advanced Foot and Ankl
e Care|VA BEACH|VA|23454|2008 General Booth Blvd||Virginia Beach|VA|234545910|75
73019996|7573019958|||2013-11-12T20:34:25.0Z|2014-11-14T05:00:00.0Z|New~Refill|B
|||||||||36.77068|-76.01126|Y|
6629113831001|||D||Kohen|Laurie||MD||3031 West Grand Blvd.||Detroit|MI|48202|303
|v10_6|1063621803|1063621803001||||||||||||||||42.36992|-83.07618|Y|AM
6629340814003|||N||Linn|Heather|M|MD||1503 Edwards Ferry Roade 203|Specialists O
n Call, Suite 100|Reston|VA|20190|1503 Edwards Ferry Roade 203||Reston|VA|20190|
8664839690|8558116296|||2013-11-12T20:22:19.0Z|2014-11-14T05:00:00.0Z|New~Refill
|||||||||||38.96177|-77.34393|N|AM
6630169673001|||N||Rovick|Aymee|L|APNP|PREVEA HEALTH|1821 S WEBSTER AVENUE||GREE
N BAY|WI|54301|1821 S Webster Ave||Green Bay|WI|543012253|9204964700|9202721283|
||2013-08-25T13:51:09.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14
T20:10:03.0Z|U|New|v10_6|1861605750|1861605750001||||||||||||||||44.48701|-88.01
859|Y|AM
6630183153001|||US||Roberson|Jacquelyn||MD||3031 West Grand Blvd.||DETROIT|MI|48
Z|U|New|v10_6|1982771358|1982771358001||||||||||||||||42.36992|-83.07618|Y|AM
6630896127001|jh7454456||||Hilts|Johnney|Dean||Anchor Hospital|5454 Yorktowne Dr
ive||Atlanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|6788177917|770
4775493|||2013-11-14T19:07:01.0Z|2099-12-31T12:00:00.0Z|New~Refill|GreenwayTest1
06|2013-11-14T19:07:02.0Z|N||v10_6|1234567471|1234567471001||||||14584 UPINID||2
55412569||||||||33.60634|-84.45192|Y|
6631073536002|||IM||Bucher|Bruce|M|MD||1362 Tappahannock Blvd|Tappahannock Prima
ry Care|Tappahannock|VA|22560|1362 Tappahannock Blvd||Tappahannock|VA|225609309|
8044435378|8044439667|||2013-10-18T14:32:04.0Z|2014-11-14T05:00:00.0Z|New~Refill
|||||||||||37.91369|-76.8586|Y|AM
6631622399002|||||Eagleton|Kimberly||RN||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1033151188|1033151188002||||||||||||||||32.81096|-96.83699|Y|
6631682757001|||||Gross|Gary|N.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201
_6|1285601336|1285601336001||||||||||||||||32.81096|-96.83699|Y|
6632089713001|||||Wicker|Jeffery||MD||464 LINDEN AVE|533 Fourth Ave|Huntington|W
V|25702|464 Linden Cir||Huntington|WV|257051532|3045250852|8597345563|||2013-1114T22:51:28.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:51
:28.0Z|N||v10_6|1932143484|1932143484001||||||||||||||||38.40851|-82.40194|Y|AM
6632463918001|||OS||Spletzer|Holly|M|NP||835 S VAN BUREN STREET||GREEN BAY|WI|54
301|835 S Van Buren St||Green Bay|WI|543013526|9204326049|9208843144|||2013-08-1
9T21:12:09.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:10:08.0
Z|U|New|v10_6|1427345339|1427345339001||||||||||||||||44.50115|-88.01229|Y|AM
6633038669001|||||Lo|Winson||MD||500C NEW HEMPSTEAD ROAD||New City|NY|10956|500
New Hempstead Rd|Ste C|New City|NY|109561143|8453623200|8452908180|||2013-11-14T
.0Z|N||v10_6|1508860107|1508860107001||||||||||||||||41.14964|-74.03305|Y|AM
6634482031001|||||Adkins|Henry||MD||105 State HWY 1947 Suite B||Grayson|KY|41143
|105 State Highway 1947|Ste B|Grayson|KY|411436825|6064747808|6064744654|||201311-14T23:31:14.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:31:15.0Z|N||v10_6|1538247572|1538247572001||||||||||||||||38.33109|-82.99359|Y|
AM
6634831377001|||||Leslie|Glenn||DO||10 Franklin Turnpike||Mahwah|NJ|07430|10 Fra
nklin Tpke||Mahwah|NJ|074301304|2015290033|2015295913|||2013-11-14T23:04:38.0Z|2
1285712950|1285712950001||||||||||||||||41.10463|-74.14858|Y|AM
6635233193001|||U||Elder|Jack||MD||19401 Hubbard Drive||Dearborn|MI|48126|19401
Hubbard Dr||Dearborn|MI|481262641|3139828336|3139828320|||2013-02-27T22:38:55.0Z
0_6|1457385072|1457385072001||||||||||||||||42.31962|-83.22818|Y|AM
6636791538001|||OBG||Anwar|Taimur||MD||3031 West Grand Blvd.||DETROIT|MI|48202|3
ew|v10_6|1275553638|1275553638001||||||||||||||||42.36992|-83.07618|Y|AM
6639858094002|||D||Wu|Diem||||7813 Shrader Road||Henrico|VA|23294|7813 Shrader R
d||Henrico|VA|232944210|8042644545|8042644260|||2013-11-14T23:38:55.0Z|2014-11-1
50|1831209550002||||||||||||||||37.62432|-77.52503|Y|AM
6640504471001|||||NQFJ|NQFJ|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
1.0Z|N||v10_6mu2|1935109268|1935109268001||||||||||||||||30.37025|-97.73773|Y|
6640763861001|DS5412369|||Dr.|Bilton|Laura|D|I|Anchor Hospital|5454 Yorktowne Dr
06|2013-11-14T06:38:48.0Z|N||v10_6|1234567893|1234567893001||||||||524789653||||
||||33.60634|-84.45192|Y|
6640851252001|SH5604574||||h|simi|||AMBQA62|street 12345|avenue B|Bangalore|AZ|4
04046489|Street 12345||Berea|KY|404040001|6104565123|6107895435|simi.harindran@a
llscripts.com||2013-11-05T05:52:07.0Z|2099-12-31T00:00:00.0Z|New~Refill|AllScrip
ts106|2013-11-14T07:21:19.0Z|U||v10_6mu2|9407376257|9407376257001|||||||||||||||
||||
6641028082001|||NEP||Levi|Cigdem|F|MD||131 Kercheval Ave||Grosse Pointe Farms|MI
|48236|131 Kercheval Ave||Grosse Pointe Farms|MI|482363629|3136402370|3133435992
|||2012-10-11T18:14:06.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-1
1-14T19:44:08.0Z|U|New|v10_6|1801904172|1801904172001||||||||||||||||42.39628|-8
2.90211|Y|AM
6643962973001|||||Sandhu|Nihal||MD||55 Old Nyack Turnpike Road|Suite 607|Nanuet|
NY|10954|55 Old Nyack Turnpike Road||Nanuet|NY|10954|8456236661|8456236698|||201
23:10:09.0Z|N||v10_6|1649244476|1649244476001||||||||||||||||41.09766|-74.01471|
N|AM
6644336268001|||US||Joeright|Larisa||PA||6777 W Maple Rd||West Bloomfield|MI|483
-03T03:51:39.0Z|2014-11-14T05:00:00.0Z|New|HenryFordTest|2013-11-14T19:46:12.0Z|
U|New|v10_6|1457679599|1457679599001||||||||||||||||42.53865|-83.40706|Y|AM
6644706601001|AP9876342|||Dr.|TUMMALA|UDAYA||||4th Avenue, Maple street||ODESSA|
TX|79761|4th Avenue, Maple Street||Odessa|TX|79761|5326536253x6321|5543254325|||
2013-11-14T06:47:45.0Z|2016-11-14T00:11:00.0Z|New~Refill|MaxSystemsTest4.21|2013
-11-14T12:09:57.0Z|N|New|v10_6mu2|0987345213|0987345213001||||||||||||||||31.857
26|-102.35515|N|AM
6645096788001|||||Patterson|Jessica|S|NP||13700 St. Francis Blvd.|, Suite 103|Mi
dlothian|VA|23114|13700 St Francis Blvd||Midlothian|VA|231143222|8045947300|8045
|2013-11-14T23:16:11.0Z|N||v10_6|1255512935|1255512935001||||||||||||||||37.4662
2|-77.65855|Y|AM
6645791511002|||N||Malik|Shaneela||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2
ew|v10_6|1063622660|1063622660002||||||||||||||||42.36731|-83.08504|Y|AM
6647400723001|||||Mehta|Jayesh||MD||55 Old Nyack Turnpike|Suite 503|Nanuet|NY|10
954|55 Old Nyack Tpke|Ste 301|Nanuet|NY|109542400|8456272800|8456277827|||2013-1

06:05.0Z|N||v10_6|1902995558|1902995558001||||||||||||||||41.10032|-74.02894|Y|A
M
6647588469001|||ID||Chen|Anne|Y|MD||2799 W. Grand Blvd.||Detroit|MI|48202|2799 W
Grand Blvd||Detroit|MI|482022608|3139162556|3139167694|||2013-02-27T22:38:33.0Z
0_6|1780752212|1780752212001||||||||||||||||42.36731|-83.08504|Y|AM
6647778888001|||||Greenberg|William||MD||4C Medical Park Drive||Pomona|NY|10970|
4 Medical Park Dr|# C|Pomona|NY|109703516|8453620202|8453621347|||2013-11-14T23:
|N||v10_6|1780773119|1780773119001||||||||||||||||41.16712|-74.0338|Y|AM
6648065632001|||||Gill|Harinder||MD||55 Old Nyack Turnpike Road|Suite 607|Nanuet
|NY|10954|55 Old Nyack Turnpike Road||Nanuet|NY|10954|8456236661|8456236698|||20
T22:59:16.0Z|N||v10_6|1285608000|1285608000001||||||||||||||||41.09766|-74.01471
|N|AM
6648708207001|MI1232141||||IRBY|MARIA|D||Drummond CS Test|4411 EAGLE MOUNTAIN CT
||RICHMOND|MA|77469|4411 Eagle Mountain Ct||Richmond|TX|774067929|4082386716|408
2386716|||2013-08-14T16:16:13.0Z|2014-11-14T16:15:57.0Z|New~Refill~ControlledSub
stance|RefillManagerEPCS|2013-11-14T18:45:44.0Z|U|New~ControlledSubstance|v10_6|
5331043989|5331043989001||||||||||||||||29.65656|-95.73432|Y|
6649998641001|||||Glick|David||||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932|1431 C
enterpoint Blvd||Knoxville|TN|379321984|8882031274|8652913228|||2013-11-14T23:53
||v10_6|1497854319|1497854319001||||||||||||||||35.93657|-84.14881|Y|AM
6650501722001|||||Schmidhauser|Marisa||CRNA||Good Samaritan Hospital|255 Lafayet
te Avenue|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|84
st|2013-11-14T23:25:57.0Z|N||v10_6|1720041882|1720041882001||||||||||||||||41.11
199|-74.13325|Y|
6650824058001|AK2641618||||aEPCSpawithoutsup|Paula|||EPCS CA PCA Site|123 Main S
t.|Ste 104|Hollywood|CA|60115|123 Main St.||Hollywood|CA|60115|3125555555|312555
4444|paula.austin@allscripts.com||2012-10-31T17:06:33.0Z|2099-12-31T00:00:00.0Z|
New~Refill~ControlledSubstance|AllScripts81e|2013-11-14T22:22:56.0Z|U|New~Refill
|v8_1e|1821054438|1821054438001||||||||||||||||41.93212|-88.7533|N|
6650824058002|AK2641618||||aEPCSpawithoutsup|Paula|||EPCS CA PCA Site|123 Main S
t.|Ste 104|Hollywood|CA|60115|123 Main St.||Hollywood|CA|60115|3125555555|312555
4444|paula.austin@allscripts.com||2012-10-31T17:06:34.0Z|2099-12-31T00:00:00.0Z|
MedHistory~Eligibility|Allscripts4.0Test|2013-11-14T22:22:58.0Z|U|MedHistory~Eli
gibility|v4_0|1821054438|1821054438002||||||||||||||||41.93212|-88.7533|N|
6651131297001|CU6141131||AM||ONeill|Ed|||ONeills Orthopedic Group Practice|82 Pi
nehurst Drive||Pottstown|PA|19464|82 Pine Hurst Dr||Pottstown|PA|194647208|61072
23242|6107229000|eoneill@aol.com||2011-03-14T20:25:22.0Z|2099-12-31T05:00:00.0Z|
New~Refill|EclipsysTest|2013-11-14T11:36:38.0Z|U|New~Refill|v4_21|7654896431|765
4896431001||||||||||||||||40.25066|-75.59935|Y|AM
6651141478001|DEA123456||IM||Alono|Jay|||M3 Clinic Name|3600 A Hawthorne Circle|
|Dubuque|IA|52002|3600 A Hawthorne Circle||Dubuque|IA|52002|9192365412|919452147
8|jay_alono@alono.com||2008-11-19T17:35:06.0Z|2099-12-31T00:00:00.0Z|New~Refill|
MED3000_MB106|2013-11-14T17:46:18.0Z|U|New~Refill|v10_6|7459038668|7459038668001
|Doctor|||||7890123456||002354926||||||||42.51055|-90.7507|N|AM
6651260567001|||FP||Bachtell|Dana|L|MD||2100 HARTFORD RD||HAMPTON|VA|23666|2100
Hartford Rd||Hampton|VA|236662409|7578254273|7578254276|||2013-10-16T12:42:59.0Z
|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:40:39.0Z|U|New|v
10_6|1376547737|1376547737001||||||||||||||||37.04708|-76.3945|Y|AM
6651886163001|||||Jones|Chrisopher||MD||5000 COX ROAD||RICHMOND|VA|23060|5000 Co
x Rd||Glen Allen|VA|230609263|8049685720|8042179398|||2013-11-14T22:34:20.0Z|201
96841722|1396841722001||||||||||||||||37.67295|-77.56805|Y|AM
6652417224001|||||Kiffel|Yakov||MD||10 Woodwind Lane||SPRING VALLEY|NY|10977|10
Woodwind Ln||Spring Valley|NY|109771614|8453645437|8453620589|||2013-11-14T23:02

||v10_6|1760578223|1760578223001||||||||||||||||41.14286|-74.064|Y|AM
6653648397001|||||Lucas|Alfredo||CRNA||Good Samaritan Hospital|255 Lafayette Ave
nue|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|84536853
3-11-14T23:24:59.0Z|N||v10_6|1538190889|1538190889001||||||||||||||||41.11199|-7
4.13325|Y|
6654365991001|||||Smajda|Christine||PA||Good Samaritan Hospital|255 Lafayette Av
e|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685029|8455653395
13325|Y|
486764001|||||||||||||||||||
6654748022001|||EM||Villamagna Jr.|Andrew|P|MD|PREVEA HEALTH|2502 S ASHLAND AVE|
|GREEN BAY|WI|54304|2502 S Ashland Ave||Green Bay|WI|543045252|9204964700|920496
4778|||2013-08-25T13:00:06.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|201311-14T20:10:23.0Z|U|New|v10_6|1578510889|1578510889001||||||||||||||||44.48008|88.06048|Y|AM
6655620113001|BS3202811||||Snowden|Georgianne|||Bathinda|#13426 CA||GREjhjh|CT|1
5111|#13426 CA||Grejhjh|CT|15111|6326890000x56723|3455315441|dfsdfwerwxvxcvxvxve
@dsasd.com||2013-11-13T10:45:39.0Z|2099-12-31T05:00:00.0Z|New|DrFirstWW0Test4x|2
013-11-14T07:04:39.0Z|U|New|v4_20|1881697761|1881697761001|||||||||||||||||||
6655620113002|BS3202811||||Snowden|Georgianne|||Bathinda|#13426 CA||GREjhjh|CT|1
5111|#13426 CA||Grejhjh|CT|15111|6326890000x56723|3455315441|dfsdfwerwxvxcvxvxve
@dsasd.com||2013-11-13T10:46:33.0Z|2099-12-31T05:00:00.0Z|MedHistory~Eligibility
|DrFirstTest|2013-11-14T07:04:39.0Z|U|RxFill~MedHistory~Eligibility|v4_0|1881697
761|1881697761002|||||||||||||||||||
6655667882002|||||Pierson|Serena|Michelle|MD||5201 HARRY HINES BLVD||DALLAS|TX|7
|U|New|v10_6|1093945834|1093945834002||||||||||||||||32.81096|-96.83699|Y|
6655949322001|||||O'Neill|Catherine||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1437425402|1437425402001||||||||||||||||32.81096|-96.83699|Y|
6657823046001|||||Sudarsky|Laura||MD||311 North Midland Avenue|Highmount Medical
Building|Upper Nyack|NY|10960|311 N Midland Ave||Nyack|NY|109601627|8453532828|
Test|2013-11-14T23:12:59.0Z|U|New|v10_6|1538208418|1538208418001||||||||||||||||
41.1|-73.92302|Y|AM
6658363125001|||AN||Skaletski|Brian|B|MD|GREEN BAY ANESTHESIA ASSOCIATES SC|835
S Van Buren St||GREEN BAY|WI|54303|835 S Van Buren St||Green Bay|WI|543013526|92
04330111|9204313082|||2013-08-25T14:14:24.0Z|2014-11-14T06:00:00.0Z|New|PreveaTe
st|2013-11-14T20:10:28.0Z|U|New|v10_6|1679557847|1679557847001||||||||||||||||44
.50115|-88.01229|Y|AM
6660235501001|||||Gapinski|Connie|J|||5995 OPUS PKWY., STE||MINNETONKA|MN|55343|
5995 Opus Pkwy||Minnetonka|MN|553438387|9523921100|9529352757|||2013-11-14T23:52
||v10_6|1093790073|1093790073001||||||||||||||||44.89667|-93.40747|Y|AM
6660959563001|||||952Last|952First||||2401 4th Avenue||Seattle|WA|98141|2401 4th
Ave||Seattle|WA|981213419|2062691224|2062691225|||2013-11-14T23:13:43.0Z|2099-1
2-31T00:00:00.0Z|New~Refill|PMSITest|2013-11-14T23:13:43.0Z|N||v4_20|1234567893|
1234567893001||||||||||||||||47.61621|-122.34596|Y|
6661290580001|||FP||Lee|Jong||MD||6100 Haggerty Road||Canton|MI|48187|6100 N Hag
gerty Rd||Canton|MI|481873683|7349813200|7349811234|||2012-10-11T18:13:27.0Z|201
4-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42:55.0Z|U|New|v10_6|
1548317811|1548317811001||||||||||||||||42.32727|-83.4471|Y|AM
6661439177001|||||AaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaX|bX|CccccccccX||Heal with S
teel Health Center|8789 Apple Blossom||Cedar Park|TX|78613|8789 Apple Blossom||C
edar Park|TX|78613|5121357901|5128754678|||2013-08-01T13:58:29.0Z|2033-11-14T23:
01:02.0Z|New~Refill|eMDSolutionSeries10.6|2013-11-14T23:01:53.0Z|U|New|v10_6mu2|
8012013909|8012013909001||||||||||||||||30.52606|-97.81377|N|
6665338433003|||||Tash|Robert||MD||255 Lafayette Avenue|Good Samaritan Hospital|
-14T23:13:15.0Z|U|New|v10_6|1548242266|1548242266003||||||||||||||||41.11199|-74
.13325|Y|AM
6665579450001|||||Mathew|Alphonsa||NP||Good Samaritan Hospital||Pomona|NY|10970|
Good Samaritan Hospital||Pomona|NY|10970|8453547957|8453548034|||2013-11-14T23:2
N||v10_6|1598934358|1598934358001||||||||||||||||41.1845|-74.04433|N|
005547001|||||||||||||||||||
6666393023002|||||Reiland|Lowery|Rogers|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1487884730|1487884730002||||||||||||||||32.81096|-96.83699|Y|
6667069929001|BA4479082||||test|mdt|||FSLHC Emergency Dept|1656 Champlin Ave||Ut
ica|NY|13502|1656 Champlin Ave||Utica|NY|135024830|3156246112|3156246308|rjones1
@mvnhealth.com||2013-11-14T21:47:10.0Z|2099-12-31T00:00:00.0Z|New|AllScripts106|
2013-11-14T21:47:10.0Z|N||v10_6mu2|1184613572|1184613572001||||||||||||||||43.09
84|-75.27819|Y|
is|2013-11-14T06:48:54.0Z|D|New|v10_6|1922063546|1922063546001||||||||||||||||29
.47159|-98.60189|Y|
6668344669001|||||Kraushaar|Barry||MD||208 Airport Executive Pk|Advanced Orthope
dics and Sports Med|Nanuet|NY|10954|208 Airport Executive Park||Nanuet|NY|109545
262|8454250555|8454266126|||2013-11-12T20:28:07.0Z|2014-11-14T05:00:00.0Z|New~Re
fill|BonSecoursTest|2013-11-14T23:03:25.0Z|U|New|v10_6|1841397221|1841397221001|
|||||||||||||||41.10842|-74.0279|Y|AM
6668728556002|||GP||Guirkin|Thomas||||5801 Bremo Road - Hospitalists||Richmond|V
A|23226|5801 Bremo Rd||Richmond|VA|232261907|8042850620|8042850726|||2013-11-14T
.0Z|N||v10_6|1265441166|1265441166002||||||||||||||||37.5843|-77.51269|Y|AM
6670479776002|||||Manke|Chad|R|MD||230 Clearfield Avenue #124|Atlantic Orthopaed
ic Spec|Virginia Beach|VA|23462|230 Clearfield Ave|Ste 124|Virginia Beach|VA|234
621832|7573213300|7573213330|||2013-11-12T20:16:16.0Z|2014-11-14T05:00:00.0Z|New
02||||||||||||||||36.84545|-76.1634|Y|AM
6671012824001|||||Bhatnagar|Rajesh||MD||1 Lake Road|P.O. Box 117|Congers|NY|1092
0|1 Lake Rd||Congers|NY|109202251|8452683377|8452683026|||2013-11-14T22:55:25.0Z
6|1225113681|1225113681001||||||||||||||||41.15052|-73.94512|Y|AM
6671425349001|||||Ingrassia|Joseph||MD||36 College Avenue||Nanuet|NY|10954|36 Co
llege Ave||Nanuet|NY|109543093|8456232456|8456236420|||2013-11-14T23:01:51.0Z|20
306911136|1306911136001||||||||||||||||41.09483|-74.00765|Y|AM
6673365626001|||||Seusy|Latricia|B|||5835 HARBOUR VIEW #B||SUFFOLK|VA|23434|5835
Harbour View Blvd|Ste B|Suffolk|VA|234352601|7576686050|7576686055|||2013-11-14
3.0Z|N||v10_6|1487693727|1487693727001||||||||||||||||36.87126|-76.44328|Y|AM
6674484715001|||ORS||Stern|Howard||MD||1411 Johnston-Willis Drive|Midlothian Ort
hopaedic Associates|Richmond|VA|23235|1411 Johnston Willis Dr||North Chesterfiel

d|VA|232354730|8042723300|8042727137|||2012-03-08T19:17:43.0Z|2014-11-14T05:00:0
0.0Z|New~Refill|BonSecoursTest|2013-11-14T22:21:08.0Z|U|New~Refill|v10_6|1780790
824|1780790824001||||||||||||||||37.50991|-77.5969|Y|AM
6675512027001|||||Lakhani|Hiten||MD||445 Route 304||Bardonia|NY|10954|445 Route
304||Bardonia|NY|109541614|8456242929|8456242930|||2013-11-14T23:04:04.0Z|2014-1
38486|1518138486001||||||||||||||||41.11313|-73.99535|Y|AM
6680278341001|||||Khaja|Misbahuddin||MD||Good Samaritan Hospital|255 Lafayette A
venue|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685983|845368
013-11-14T23:02:38.0Z|N||v10_6|1235267576|1235267576001||||||||||||||||41.11199|
-74.13325|Y|AM
6680450247001|||||Sharma|Mickey||MD||66 Ramapo Rd||Garnerville|NY|10923|66 Ramap
o Rd||Garnerville|NY|109231718|8459472232|8459471339|||2013-11-14T23:11:21.0Z|20
730241316|1730241316001||||||||||||||||41.20127|-73.99798|Y|AM
6681551407001|||OBG||Mims-Gillum|Phillis||MD||7800 West Outer Drive||DETROIT|MI|
48235|7800 W Outer Dr||Detroit|MI|482353456|3139163782|3136532686|||2013-11-05T2
Z|U|New|v10_6|1144211756|1144211756001||||||||||||||||42.42028|-83.2147|Y|AM
6682856078006|||OTO||Surow|Jason||MD||400 Franklin Turnpike|Suite 202|Mahwah|NJ|
76491|400 Franklin Tpke|Ste 202|Mahwah|NJ|074303519|2018256200|8457271377|||2013
3:13:02.0Z|U|New|v10_6|1619968997|1619968997006||||||||||||||||41.08007|-74.1404
8|Y|AM
6683811660001|||||Corriel|Jared||MD||206 Route 303||Valley Cottage|NY|10989|206
Route 303||Valley Cottage|NY|109892019|8452680880|8452680882|||2013-11-14T22:56:
|v10_6|1518108182|1518108182001||||||||||||||||41.12869|-73.94005|Y|AM
6684789079002|||OS||Boon|Beverly||||213 MCLAW'S CIRCLE||WILLIAMSBURG|VA|23187|21
3 McLaws Cir||Williamsburg|VA|231855856|7572595990|7572591998|||2013-11-14T23:43
||v10_6|1982775847|1982775847002||||||||||||||||37.24654|-76.66094|Y|AM
6685652268002|||GS||Thiwan|Syed||||885 Kempsvilles Road|Suite 114|Norfolk|VA|235
02|885 Kempsville Rd|Ste 114|Norfolk|VA|235023800|7574660165|7574669082|||2013-1
43:55.0Z|N||v10_6|1932174687|1932174687002||||||||||||||||36.85311|-76.194|Y|AM
6686658785002|||PM||PEZZELLA|NICKOLAS||||2012 MEADE PARKWAY||SUFFOLK|VA|23434|20
12 Meade Pkwy||Suffolk|VA|234344259|7575380102|7575381833|||2013-11-14T22:40:11.
0_6|1932129475|1932129475002||||||||||||||||36.76242|-76.596|Y|AM
6688476137001|JCM003959||||CROCKER|JAY|||CPSI Community Health1|7700 WALL ST||Mo
bile|AL|36604|7700 Wall St||Mobile|AL|36604|2516940066|2516491111|jay.crocker@cp
si.com||2013-10-30T16:42:12.0Z|2099-10-30T00:00:00.0Z|New~Refill|CPSITest106|201
3-11-14T17:45:52.0Z|U|New|v10_6mu2|2546987712|2546987712001||||||||||||||||30.68
302|-88.06763|N|
6691325784001||SML7890123456789011121345||Mr.|BourneThisisthemaximumpopulatedpre
s|JasonMaximallypopulatedprescriberfi|Alexander!"#$%\S\&*()_+Midd|PA|John D. Hol
mes, MD|1234 MY HOUSE STREETaaaaaaaaaaaaaaa|Address 2 for Arizona Sitebbbbbbbbb|
Mesabbbbbbbbbbbbbbbbbbbbbbbbbb|AZ|852021111|1234 My House Streetaaaaaaaaaaaaaaa|
|Mesa|AZ|85202|4804610082|4809644237|email@email.comthisisthemaximallypopulatede
ntryforemailaddressfieldintheapplicat||2012-09-26T17:07:11.0Z|2099-12-31T00:00:0
0.0Z|New~Refill|DigiChart106|2013-11-14T21:08:46.0Z|U|New~Refill|v10_6|125852039
8|1258520398001||||||UPIN7890123456789011121314151617181||||||||||33.38622|-111.
87329|N|
6692917811001|||||Bhana|Mahomed||MD||151 South Main Street|Suite 304|New City|NY
|10956|151 S Main St|Ste 304|New City|NY|109563544|8454992139|8454992140|||201311-14T22:55:17.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22
:55:17.0Z|N||v10_6|1841387123|1841387123001||||||||||||||||41.14219|-73.99105|Y|
AM
6692950663001|||||SSTESTERZ|SSTESTERZ|||flofi|325 bizz||quebec|AS|50121|325 Bizz
||Quebec|AS|50121|5819967784|4578845789|ap@al.com||2013-11-13T22:44:37.0Z|2099-0
2-01T00:00:00.0Z|New~Refill|Nightengale|2013-11-14T06:22:03.0Z|U|New|v10_6mu2|74
67821451|7467821451001||1004578:164:12|||||||||||||||||AM
6693027760001|||||Sadler|Sandra||MD||205 Airport Executive Park|Suite 205|Nanuet
|2013-11-14T23:09:58.0Z|N||v10_6|1245211309|1245211309001||||||||||||||||41.1084
2|-74.0279|Y|AM
6695126881001|||||Roche|John|P|MD||901 Hampton Blvd||Norfolk|VA|23507|901 Hampto
n Blvd||Norfolk|VA|235071503|7576230526|7576276471|||2013-11-12T20:18:17.0Z|2014
-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:41:26.0Z|U|New|v10_6|
1205837689|1205837689001||||||||||||||||36.86476|-76.30236|Y|AM
6695618283002|||EM||Dickson|Jeffrey|D|MD||150 Kingsley Lane|Team Health|Norfolk|
VA|23505|150 Kingsley Ln||Norfolk|VA|235054602|8659850749|8652913632|||2013-11-1
36.0Z|U|New|v10_6|1285845040|1285845040002||||||||||||||||36.89845|-76.28142|Y|A
M
6695948854001|||PD||Williams|Carol|B|MD||9113 Dickey Road||Mechanicsville|VA|231
16|9113 Dickey Dr||Mechanicsville|VA|231162502|8045597280|8045597282|||2012-03-0
51.0Z|U|New~Refill|v10_6|1508912486|1508912486001||||||||||||||||37.6501|-77.406
25|Y|AM
524869001|||||||||||||||||||
6699694884001|||||Ramdas|Kalpana||MD||169 Main Street||Nyack|NY|10960|169 Main S
t||Nyack|NY|109603001|8453533343|8453533379|||2013-11-14T23:08:46.0Z|2014-11-14T
|1649263310001||||||||||||||||41.09148|-73.92297|Y|AM
6699725241001|||||Shuren|Neal||MD||327 Route 59|Suite 2|Airmont|NY|10952|327 Rou
te 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T23:11:36.0Z|
|1326030305|1326030305001||||||||||||||||41.11002|-74.09595|Y|AM
6702363000001||1234567890||PRE|BETA112|DOC1||SUF|BETA112 EDI|5995 WINDWARD PARKW
AY||ALPHARETTA|GA|30005|5995 Windward Pkwy||Alpharetta|GA|300054184|6784223458|6
784221398|||2013-08-28T20:02:06.0Z|2099-10-08T10:36:07.0Z|New~Refill|McKessonHAC
QA|2013-11-14T18:27:02.0Z|U|New|v10_6|7652340986|7652340986001||||||||||||||||34
.08649|-84.25046|Y|
6702639181001|||NEP||Bhat|Saroj||MD||19001 Hubbard Dr.||DEARBORN|MI|48126|19001
Hubbard Dr||Dearborn|MI|481262637|3139821434|3134411871|||2012-10-11T18:09:11.0Z
0_6|1336217868|1336217868001||||||||||||||||42.31998|-83.22509|Y|AM
6703323496001|||FP||Yalda|Sylvana||MD||2825 Livernois||Troy|MI|48083|2825 Livern
ois Rd||Troy|MI|480831214|2486806000|2486806068|||2012-10-11T18:13:20.0Z|2014-11
223732|1528223732001||||||||||||||||42.56009|-83.14866|Y|AM
6704026957001|||||Laster|Avi|S|PA||Good Samaritan Hospital|255 Lafayette Ave|Suf
T23:24:45.0Z|N||v10_6|1083665608|1083665608001||||||||||||||||41.11199|-74.13325
|Y|
6705116203001|||||Klein|Stephen||MD||200 Route 59||Suffern|NY|10901|200 Route 59
||Suffern|NY|109015009|8453699300|8453691219|||2013-11-14T23:02:52.0Z|2014-11-14
2|1831257872001||||||||||||||||41.11357|-74.11572|Y|AM
6705564816001|||||Steigman|Edmund||DMD||84 Route 59||Suffern|NY|10901|84 Route 5
9||Suffern|NY|109014910|8453572070|8453572144|||2013-11-14T23:12:33.0Z|2014-11-1
73|1659430973001||||||||||||||||41.11318|-74.12733|Y|
6706089466001|||||MILLER|MARK||||ABC DIET AND NUTRITION COUNSELING|123 FRANCE AV
ENUE N|EDINA|MN|55435|Abc Diet and Nutrition Counseling||Edina|MN|55435|95255555
56|8885551212|ocbotest21@gmail.com||2011-05-03T16:49:26.0Z|2013-11-14T09:59:58.0
Z||BCBSMNTest4.20|2013-11-14T09:59:58.0Z|D|New|v10_6mu2|5566778899|5566778899001
||||||||||||||||44.86181|-93.32626|N|
6708146256001|||||Polinger|Adam||MD||222 ROUTE 59|SUITE 306|SUFFERN|NY|10901|222
Route 59|Ste 306|Suffern|NY|109015208|8453680422|8459283121|||2013-11-14T23:07:
|v10_6|1417162868|1417162868001||||||||||||||||41.11288|-74.11188|Y|AM
6708505915001|||US||Hutchinson|Leigh|Ann|MD||515 ROUTE 111|2ND FLOOR|HAUPPAUGE|N
Y|11788|515 Route 111|Fl 2|Hauppauge|NY|117884339|6312241819|6312241812|||2012-0
6-05T14:29:37.0Z|2014-11-14T05:00:00.0Z|New|CatholicHealthLongIslandtest|2013-11
-14T16:14:44.0Z|U|New|v10_6|1568497204|1568497204001||||||||||||||||40.82783|-73
.1987|Y|AM
6708931731001|||||Katapadi|Manmohan||MD||1492 E Broad St., Suite 1201||Columbus|
OH|43205|1492 E Broad St|Ste 1201|Columbus|OH|432051546|6142573820|6142573825|||
14|Y|AM
6709774627002|123456789||||Bread|Man|tester||flofi|325 bizz||quebec|AS|50121|325
Bizz||Quebec|AS|50121|1114457845|1117784589|pagaliotis@nightingalemd.com||201311-13T22:09:44.0Z|2099-02-01T00:00:00.0Z|New~Refill|Nightengale|2013-11-14T06:22
:03.0Z|U|New|v10_6mu2|2874563770|2874563770002||1004578:154:12|||||||||||||||||A
M
6710084164001|||||Puma|Patricia||CRNA||2 Crosfield Avenue|255 Lafayette Avenue|S
25|Y|
6710755375002|||PUD||Shepherd|Ray||||1250 E MARSHALL ST|MCV Hospitals|Richmond|V
A|23298|1250 E Marshall St||Richmond|VA|232985051|8048289071|8048283673|||2013-1
37:28.0Z|N||v10_6|1639263940|1639263940002||||||||||||||||37.53987|-77.42977|Y|A
M
6711038276001|||||Weltin|Johannes||MD||728 North Main Street||Spring Valley|NY|1
0977|728 N Main St||New Square|NY|109778916|8453549300|8456780398|||2013-11-14T2
0Z|N||v10_6|1447207105|1447207105001||||||||||||||||41.13955|-74.03471|Y|AM
6711821051001|||||Molinas|Sharon||MD||500 New Hempstead Road||New City|NY|10956|
500 New Hempstead Rd||New City|NY|109561132|8453623200|8453624464|||2013-11-14T2
0Z|N||v10_6|1063416659|1063416659001||||||||||||||||41.14964|-74.03305|Y|AM
6711984081001|||||Barrette|Ronald|J|MD||900 Rockmead Drive, S-274|Alliance Recru
iting Resources|Kingwood|TX|77339|900 Rockmead Dr|# S-274|Kingwood|TX|773392115|
8007598203|8668575398|||2013-11-12T20:08:31.0Z|2014-11-14T05:00:00.0Z|New~Refill
|||||||||||30.05251|-95.24178|Y|AM
6712993248008|||||Thakur|Shivanand|||Main|1010 Ten Harrison road4|Lake view roa
d|Brownsville|TN|38012|1010 Tamm St|Harrison ROAD4|Brownsville|TN|380121646|9193
296666|7704578789|||2013-07-16T07:08:22.0Z|2099-12-31T00:00:00.0Z|New~Refill|All
Scripts106|2013-11-14T05:20:14.0Z|U|New|v10_6mu2|1063516946|1063516946008|||||||
|||||||||35.60421|-89.25087|Y|
6713193327001|||||Sepinski|Jon||PA||Good Samaritan Hospital|Suite 422|West Nyack
|NY|10994|Good Samaritan Hospital||West Nyack|NY|10994|8453581000|8453582155|||2
4T23:26:02.0Z|N||v10_6|1023134624|1023134624001||||||||||||||||41.09607|-73.9695
5|N|
6713673021001|||||Yang|Linding||MD||255 Lafayette Avenue|Good Samaritan Hospital

1-14T23:14:46.0Z|U|New|v10_6|1447345558|1447345558001||||||||||||||||41.11199|-7
4.13325|Y|AM
6714259937001|||HO||Thind|Ravneet||MD||2799 West Grand Blvd.||Detroit|MI|48202|2
ew|v10_6|1215146378|1215146378001||||||||||||||||42.36731|-83.08504|Y|AM
6714963603001|||||Mootz|Ann|R.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 H
6|1700074333|1700074333001||||||||||||||||32.81096|-96.83699|Y|
6714996918001|||||Nelson|Shirley||DO||55 Old Nyack Turnpike|Suite 507|Nanuet|NY|
10954|55 Old Nyack Tpke|Ste 301|Nanuet|NY|109542400|8453522899|8453522992|||2013
3:07:01.0Z|N||v10_6|1871654897|1871654897001||||||||||||||||41.10032|-74.02894|Y
|AM
6716098663002|||U||Littleton|Raymond||MD||2799 West Grand Blvd.||DETROIT|MI|4820
2|2799 W Grand Blvd||Detroit|MI|482022608|3139162062|3139161462|||2012-10-11T18:
07:09.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:37:51.0Z|
U|New|v10_6|1023178993|1023178993002||||||||||||||||42.36731|-83.08504|Y|AM
6716822278001|||||Kovar|Lance||MD||206 Route 303||Valley Cottage|NY|10989|206 Ro
ute 303||Valley Cottage|NY|109892019|8452680880|8452680882|||2013-11-14T23:03:16
10_6|1225057599|1225057599001||||||||||||||||41.12869|-73.94005|Y|AM
6717870441002|||FP||Biernacki|Gregory|J|||4374 New Town Avenue|Sentara Family Me
dicine, Suite 200|WILLAMSBURG|VA|23188|4374 New Town Ave||Williamsburg|VA|231882
865|7572202795|7575109146|||2013-11-12T20:34:30.0Z|2014-11-14T05:00:00.0Z|New~Re
|||||||||||||||37.28129|-76.738|Y|AM
6719622568002|||R||BENODIN|LESLY||||695 Dutchess Turnpike|#105|Poughkeepsie|NY|1
-14T22:54:44.0Z|N||v10_6|1538185046|1538185046002||||||||||||||||41.6988|-73.882
63|Y|AM
6720576068001|||||Pasha|Ghousia||MD||12A NORTH AIRMONT RD||Suffern|NY|10901|12A
N Airmont Rd||Suffern|NY|109015152|8453698671|8453698673|||2013-11-14T23:07:29.0
_6|1518058940|1518058940001||||||||||||||||41.11435|-74.11403|Y|AM
6722032763001|||AN||Vokac|Wendy|G|CRNA||Commonwealth Anesthesia Associates||Rich
mond|VA|23229|Commonwealth Anesthesia Associates||Richmond|VA|23229|8045942622|8
est|2013-11-14T23:16:15.0Z|U|New|v10_6|1275534117|1275534117001||||||||||||||||3
7.59977|-77.56406|N|AM
6723543982001|||||Weissman|Debra||MD||76 Washington Avenue||Suffern|NY|10901|76
Washington Ave||Suffern|NY|109016030|8453572177|8453577095|||2013-11-14T23:14:16
10_6|1538279872|1538279872001||||||||||||||||41.11245|-74.14951|Y|AM
6724830240001|||||Desai|Alka||MD|Children's Physicians - Eagle Run|13808 West Ma
ple Rd STE 100|Children's Physicians-Eagle Run|Omaha|NE|68164|13808 W Maple Rd|S
te 100|Omaha|NE|681646231|4029553000|4029557055|adesai@childrensomaha.org||201311-14T19:56:10.0Z|2014-11-14T06:00:00.0Z|New~Refill|TCHOmahaTest|2013-11-14T19:5
7:12.0Z|N|New|v10_6|1861500696|1861500696001||||||||||||||||41.29272|-96.12936|Y
|AM
6725345725002|||IM||Sandhu|Kulbir||MD||348 Brown's Hill Court|Virginia Diabetes
& Endocrinology|Midlothian|VA|23113|348 Brown's Hill Court||Midlothian|VA|23113|
8042722702|8042729355|||2013-11-12T20:32:48.0Z|2014-11-14T05:00:00.0Z|New~Refill
|||||||||||37.51998|-77.64584|N|AM

is|2013-11-14T06:49:27.0Z|D|New|v10_6|1922063545|1922063545001||||||||||||||||29
.47159|-98.60189|Y|
6726098349001|||||Fischman|Eddie||DPM||500 New Hempstead Road||New City|NY|10956
|500 New Hempstead Rd||New City|NY|109561132|8453621000|8453622324|||2013-11-14T
.0Z|N||v10_6|1750356275|1750356275001||||||||||||||||41.14964|-74.03305|Y|
6727834064002|||EM||Williams|Mary||||Bon Secours Orthopaedic Institute|13700 St.
Francis Blvd|Midlothian|VA|23114|13700 St Francis Blvd||Midlothian|VA|231143222
|8043792414|8045943185|||2013-11-14T23:20:13.0Z|2014-11-14T05:00:00.0Z|New~Refil
l|BonSecoursTest|2013-11-14T23:20:13.0Z|N||v10_6|1053546408|1053546408002|||||||
|||||||||37.46622|-77.65855|Y|AM
6728213375001|||END||Thomas|Abraham||MD||3031 West Grand Blvd.||Detroit|MI|48202
|New|v10_6|1851334312|1851334312001||||||||||||||||42.36992|-83.07618|Y|AM
6728738181001|||||Alder|Adam|Craig|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1831291541|1831291541001||||||||||||||||32.81096|-96.83699|Y|
6729321219002|||CD||FISCH|MARK||||257 Lafayette Avenue|Suite 300|Suffern|NY|1090
8:21.0Z|N||v10_6|1346448305|1346448305002||||||||||||||||41.11222|-74.13531|Y|AM
6729579238002|||RO||Amin|Biral|S|MD||736 Battlefield Blvd|Oncology Associates of
VA|Chesapeake|VA|23320|736 Battlefield Blvd N||Chesapeake|VA|233204941|75731262
ursTest|2013-11-14T22:26:35.0Z|U|New|v10_6|1972565315|1972565315002|||||||||||||
|||36.74609|-76.24608|Y|AM
6729723885001|||||Levine|Marc|Joel|MD||1 Crosfield Avenue|Suite 201|West Nyack|N
3|Y|AM
6730807388003|||||RENZONI|STEVEN||||327 Route 59|Suite 2|Airmont|NY|10952|327 Ro
ute 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T23:09:05.0Z
6|1568577625|1568577625003||||||||||||||||41.11002|-74.09595|Y|
6731012855001|||||Sifuentes-Dominguez|Luis||MD||5201 HARRY HINES BLVD||DALLAS|TX
6-13T14:48:01.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T11:54:59.
0Z|U|New|v10_6|1740508928|1740508928001||||||||||||||||32.81096|-96.83699|Y|
6732068047001|||||Austin|Kenneth||MD||327 Route 59|Suite 2|Airmont|NY|10952|327
Route 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T22:54:04.
0_6|1205834041|1205834041001||||||||||||||||41.11002|-74.09595|Y|AM
|v10_6|9939448377|9939448377001|||||||||||||||||||
6733138039001|||CCM||Kidess|Anton|I|MD|EAU CLAIRE MEDICAL CLINIC|703 W HAMILTON
AVENUE||EAU CLAIRE|WI|54701|703 W Hamilton Ave|# 4|Eau Claire|WI|547016938|71583
99280|7158399348|||2013-09-16T15:17:57.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|
2013-11-14T20:11:18.0Z|U|New|v10_6|1518914860|1518914860001||||||||||||||||44.78
521|-91.50632|Y|AM
6734287876003|||||LATINO|KATHLEEN||||6 MEDICAL PARK DRIVE||POMONAyack|NY|10970|6
Medical Park Dr||Pomona|NY|109703525|8453545000|8453549469|||2013-11-14T23:04:1
v10_6|1699759340|1699759340003||||||||||||||||41.16792|-74.03309|Y|
6734876181001|||IM||Rocco|Nicole||MD||2799 W Grand Blvd||DETROIT|MI|48202|2799 W

Grand Blvd||Detroit|MI|482022608|3139169100|3139162837|||2012-11-29T19:57:26.0Z
0_6|1629157052|1629157052001||||||||||||||||42.36731|-83.08504|Y|AM
6736162218001|||||Davis|Robert|T|||7547 Medical Drive|Suite 2200|GLOUCESTER|VA|2
3061|7547 Medical Dr|Ste 2200|Gloucester|VA|230614351|8046932720|8046940597|||20
T23:48:33.0Z|N||v10_6|1285716712|1285716712001||||||||||||||||37.41945|-76.5414|
Y|AM
6738813271127|MI2638546||||TOTH|MCTOTH|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPHA
SIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|72 Brunswick Woods Dr||East Brun
swick|NJ|088165601|5132042340|5137707700|||2011-05-27T17:41:39.0Z|2096-11-14T18:
10:47.0Z|New~Refill~MedHistory|MedPlusQA4|2013-11-14T18:08:59.0Z|U|New~MedHistor
y|v4_20|1794569198|1794569198127|||||||||||||||||||
6738813271205|MI2638546||||TOTH|MCTOTH|||AA Prod Org|4691 PARKWAY DR||DAYTON|OH|
45040||||||5137828392|5138829382|||2013-11-14T18:06:54.0Z|2096-11-14T18:08:43.0Z
|New~MedHistory|MedPlusQA4|2013-11-14T18:06:54.0Z|N||v4_20|1794569198|1794569198
205|||||||||||||||||||
6740697738002|||||Solow|Elizabeth|Blair|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1659581502|1659581502002||||||||||||||||32.81096|-96.83699|Y|
6740965168001|||||Schmidt|John|Jingleheimer||Heal with Steel Health Center|8789
Apple Blossom||Cedar Park|TX|78613|8789 Apple Blossom||Cedar Park|TX|78613|51213
57901|5128754678|||2013-10-31T15:04:12.0Z|2033-11-14T21:11:31.0Z|New~Refill|eMDS
olutionSeries10.6|2013-11-14T21:12:23.0Z|U|New|v10_6mu2|1004999987|1004999987001
||||||||||||||||30.52606|-97.81378|N|
6741693546002|||VS||Mukherjee|Avik||MD||8237 Meadowbridge Road|VA Surgical Assoc
iates|Mechanicsville|VA|23116|8237 Meadowbridge Rd||Mechanicsville|VA|231162329|
8042881953|8045597833|||2013-10-17T19:47:01.0Z|2014-11-14T05:00:00.0Z|New~Refill
|||||||||||37.62544|-77.38565|Y|AM
6742005476001|||||Huss|Herbert||MD||79 Route 59||Suffern|NY|10901|79 Route 59||S
uffern|NY|109014913|8453577133|8453577317|||2013-11-14T23:01:46.0Z|2014-11-14T05
:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:01:46.0Z|N||v10_6|1396840690|1
396840690001||||||||||||||||41.1122|-74.12835|Y|AM
6742681052001||1234567885|||CertTestFirstName|CertTestLastName|CertTestMiddleNam
exxxxxxx|||1 CertTestAddressLine1|CertTestAddressLine2|CertTestAddressCity|CA|94
550|1 CERTTESTADDRESSLINE1||Livermore|CA|94550|4081231234x4321|4081234321|||2013
-03-01T01:05:13.0Z|2014-02-27T00:00:00.0Z|New~Refill|TeleResultsTest|2013-11-14T
17:13:17.0Z|U|New|v10_6|1234567885|1234567885001||||||||||||||||37.66701|-121.75
298|N|
6743104468001|||||Primus|Joylin||CRNA||Good Samaritan Hospital|255 Lafayette Ave
nue|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|84536853
3-11-14T23:25:35.0Z|N||v10_6|1417085655|1417085655001||||||||||||||||41.11199|-7
4.13325|Y|
6743542527001|||OBS||Schuman|Jennifer||CNM||6777 West Maple Road||WEST BLOOMFIEL
D|MI|48322|6777 W Maple Rd||West Bloomfield|MI|483223013|2486616425|2486617104||
40706|Y|AM
6743598768001|||OPH||Kheterpal|Bithika||MD||35184 Central City Parkway||WESTLAND
|MI|48185|35184 Central City Pkwy||Westland|MI|481856215|7345247667|7344669188||
388|Y|AM
6744304349002|||OS||Jordan|Khadijah||||111 Medical Parkway|Suite 202|CHESAPEAKE|
VA|23320|111 Medical Pkwy|Ste 202|Chesapeake|VA|233200303|7574362424|7574367012|
1-14T23:58:50.0Z|N||v10_6|1528022688|1528022688002||||||||||||||||36.74423|-76.2
4599|Y|AM
6744972285001|||||Sadowski|John||MD||1 Crosfield Avenue|Suite 201|West Nyack|NY|
T23:10:00.0Z|N||v10_6|1114972379|1114972379001||||||||||||||||41.0925|-73.97863|
Y|AM
6745443641001|||||Highlander|William|H|||102-G FAIRVIEW DR.||FRANKLIN|VA|23851|1
02 Fairview Dr|Ste G|Franklin|VA|238511206|7575699524|7575172727|||2013-11-14T23
Z|N||v10_6|1972785491|1972785491001||||||||||||||||36.69126|-76.935|Y|AM
6746534208001|||||Groves|Charles||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1255588448|1255588448001||||||||||||||||32.81096|-96.83699|Y|
6746946568001|||||Giusti|Massimo||MD||7001 Forest Ave|Suite 200|Richmond|VA|2323
0|7001 Forest Ave|Ste 200|Richmond|VA|232301726|8042883123|8048970910|||2013-1114T22:17:23.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:17
:23.0Z|N||v10_6|1720011398|1720011398001||||||||||||||||37.60407|-77.52697|Y|AM
6747051459001|||||Martin|Debra|K|NP||1180 ST. CHRISTOPHER DR||ASHLAND|KY|41101|1
180 Saint Christopher Dr||Ashland|KY|411017055|6068330144|6068330113|||2013-11-1
15.0Z|N||v10_6|1760733349|1760733349001||||||||||||||||38.50917|-82.69359|Y|
6748464313002|||||Moore|Thomas|J.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1134306152|1134306152002||||||||||||||||32.81096|-96.83699|Y|
6748907501001|||||Griffin|James|E.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
1:55.0Z|2013-11-14T11:56:20.0Z||ParklandTest4.2|2013-11-14T11:56:20.0Z|D||v10_6|
1912006826|1912006826001||||||||||||||||32.81096|-96.83699|Y|
6748999185001|||||WATSON|QUENTIN||||ABC DIET AND NUTRITION COUNSELING|123 FRANCE
AVENUE N|EDINA|MN|55435|Abc Diet and Nutrition Counseling||Edina|MN|55435|95255
55555|8885551212|ocbo23@gmail.com||2011-07-29T18:15:48.0Z|2013-11-14T10:00:00.0Z
||BCBSMNTest4.20|2013-11-14T10:00:00.0Z|D|New|v10_6mu2|9900112233|9900112233001|
|||||||||||||||44.86181|-93.32626|N|
6750254446001|||||Madison|Karen||ACNP||Good Samaritan Hospital|Suite 290|New Cit
y|NY|10956|Good Samaritan Hospital||New City|NY|10956|8456349400|8456340547|||20
T23:25:02.0Z|N||v10_6|1275675001|1275675001001||||||||||||||||41.15146|-73.99587
|N|
6752202781001|||NEP||Soi|Vivek||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2799
W Grand Blvd||Detroit|MI|482022608|3139162707|3139165316|||2012-10-11T18:12:53.
v10_6|1568671543|1568671543001||||||||||||||||42.36731|-83.08504|Y|AM
4T05:20:49.0Z||AmericanChoice|2013-11-14T05:20:49.0Z|D|New|v10_6|9920493317|9920
493317001|||||||||||||||||||
6754519091002|MO2001573||EM||Pelletier|Shannon|||Faxton St Lukes Healthcare|1656
Champlin Ave||New Hartford|NY|13413|1656 Champlin Ave||New Hartford|NY|13413106
8|3156246112|3156246308|spelleti@mvnhealth.com||2013-11-14T23:47:52.0Z|2099-12-3
1T00:00:00.0Z|New|AllScripts106|2013-11-14T23:47:53.0Z|N||v10_6mu2|1164653622|11
64653622002||||||||||||||||43.09441|-75.27991|N|AM
6755096818001|||||Fleischmann|Roy|M.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1467451146|1467451146001||||||||||||||||32.81096|-96.83699|Y|
6756618933002|||N||Syed|Asad|A|MD||1768 Business Center Dri03|Specialists On Cal
l, Suite 100|Reston|VA|20190|1768 Business Center Dr|# DRI03|Reston|VA|201905324
|8664839690|8558116296|||2013-11-12T20:22:14.0Z|2014-11-14T05:00:00.0Z|New~Refil
l|BonSecoursTest|2013-11-14T22:47:54.0Z|U|New|v10_6|1497851042|1497851042002||||
||||||||||||38.94958|-77.32719|Y|AM
6757187664002|||US||RIELLY|JAMES||||5A Medical Park Drive||Pomona|NY|10970|5A Me
_6|1386638005|1386638005002||||||||||||||||41.16659|-74.03187|Y|AM
6757615433001|||||Goodman|Stephen||MD||500 New Hempstead Road||New City|NY|10956
|500 New Hempstead Rd||New City|NY|109561132|8453623200|8453624464|||2013-11-14T
.0Z|N||v10_6|1154325744|1154325744001||||||||||||||||41.14964|-74.03305|Y|AM
6757648343001|||OBG||Mangat|Charanpal||MD||3031 West Grand Blvd.||DETROIT|MI|482
:12:39.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:41:57.0Z
|U|New|v10_6|1053529404|1053529404001||||||||||||||||42.36992|-83.07618|Y|AM
278872001|||||||||||||||||||
6757852400001|||||Albright|Melissa|D|||161 Wadsworth Dr||Richmond|VA|23226|161 W
adsworth Dr||Richmond|VA|232364500|8042820383|8042825431|||2013-11-14T23:34:42.0
_6|1215903893|1215903893001||||||||||||||||37.49411|-77.55645|Y|
311951001|||||||||||||||||||
6758267853001|||||Naiman|Hillel||MD||6 Bridle Road||New Hempstead|NY|10977|6 Bri
dle Rd||Spring Valley|NY|109771729|8453621111|8453621595|||2013-11-14T23:06:48.0
_6|1821147760|1821147760001||||||||||||||||41.14915|-74.04462|Y|AM
6758554813001|||||Luchs|Scott||MD||255 Lafayette Avenue|Good Samaritan Hospital|
-14T23:05:23.0Z|U|New|v10_6|1073589107|1073589107001||||||||||||||||41.11199|-74
.13325|Y|AM
6758721388001|||A||Nageotte|Christian||MD||39450 West 12 Mile Road||Novi|MI|4837
7|39450 W 12 Mile Rd||Novi|MI|483773600|2486616460|2483442492|||2013-02-27T22:36
New|v10_6|1780785204|1780785204001||||||||||||||||42.49805|-83.43774|Y|AM
6759002887001|||END||Shill|Jessica||MD||3031 West Grand Blvd., 8th Floor||DETROI
T19:45:42.0Z|U|New|v10_6|1235308735|1235308735001||||||||||||||||42.36928|-83.07
642|Y|AM
6759527446001|||NEP||Yessayan|Lenar||MD||2799 West Grand Blvd.||DETROIT|MI|48202
|New|v10_6|1023210861|1023210861001||||||||||||||||42.36731|-83.08504|Y|AM
6759994299002|||||Ha|Thoa|Kim|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 Ha
|1457679649|1457679649002||||||||||||||||32.81096|-96.83699|Y|
6760524523001|||IM||Pittala|Umadevi||MD||39450 W. 12 Mile Rd||Novi|MI|48377|3945
0_6|1497823926|1497823926001||||||||||||||||42.49805|-83.43774|Y|AM
6762650136003|||||Weisen|Steven||||222 Route 59|Suite 302|Suffern|NY|10901|222 R
oute 59|Ste 302|Suffern|NY|109015208|8453680100|8453683866|||2013-11-14T23:14:09
10_6|1598702623|1598702623003||||||||||||||||41.11288|-74.11188|Y|
6763530370001|||US||Cajigas|Hector||MD||39450 West 12 Mile Road||Novi|MI|48377|3
9450 W 12 Mile Rd||Novi|MI|483773600|2486616475|2483442492|||2013-02-27T22:38:01
|v10_6|1235207762|1235207762001||||||||||||||||42.49805|-83.43774|Y|AM
6764495761002|||||Chaudhry|Priyanka||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1366600702|1366600702002||||||||||||||||32.81096|-96.83699|Y|
6765113389001|||||Queen|Timothy|A|MD||11842 ROCK LANDING DR|Suite 100|NEWPORT NE
WS|VA|23606|11842 Rock Landing Dr|Ste 100|Newport News|VA|236064437|7578730338|7
est|2013-11-14T22:40:45.0Z|N||v10_6|1164422507|1164422507001||||||||||||||||37.0
9368|-76.46608|Y|AM
6765172443001|||IM||Moore|Daniel||MD||2799 West Grand Blvd.||DETROIT|MI|48202|27
w|v10_6|1346265196|1346265196001||||||||||||||||42.36731|-83.08504|Y|AM
6765840783002|||CD||Amin|Mitesh|S|MD||2801 Blvd|James River Cardiology, D|Coloni
al Heights|VA|23834|2801 Boulevard||Colonial Heights|VA|238342323|8045201764|866
t|2013-11-14T22:48:05.0Z|U|New|v10_6|1801003157|1801003157002||||||||||||||||37.
26693|-77.41159|Y|AM
6766530086001|||||Sochacki|Joyce||NP||Professional Emergency Care|13700 St. Fran
cis Blvd, ED|Midlothian|VA|23114|13700 St Francis Blvd|# Ed|Midlothian|VA|231143
222|8045947950|8045947955|||2013-11-14T23:15:48.0Z|2014-11-14T05:00:00.0Z|New~Re
fill|BonSecoursTest|2013-11-14T23:15:48.0Z|N||v10_6|1285612366|1285612366001||||
||||||||||||37.46622|-77.65855|Y|AM
6767340733001|||FP||Vidinas|Alis||MD||19401 Hubbard Drive, Suite 202||Dearborn|M
I|48126|19401 Hubbard Dr|Ste 202|Dearborn|MI|481262641|3139828214|3139828403|||2
T19:42:42.0Z|U|New|v10_6|1720299837|1720299837001||||||||||||||||42.31962|-83.22
818|Y|AM
6767637971002|||P||KHAN|DURRE||||5855 Bremo Road Boulevard|Suite 404, BEHAVIORAL
HEALTH GROUP|Richmond|VA|23226|5855 Bremo Road Boulevard||Richmond|VA|23226|804
nSecoursTest|2013-11-14T23:15:31.0Z|N||v10_6|1841409067|1841409067002|||||||||||
|||||37.58269|-77.51695|N|AM
6768390638003|||||MATTA|AYMAN||||99 Dutch Hill Road||Orangeburg|NY|10962|99 Dutc
h Hill Rd||Orangeburg|NY|109622185|8453597272|8453597388|||2013-11-14T23:05:55.0
_6|1841288388|1841288388003||||||||||||||||41.04344|-73.95479|Y|
6768645280001|||||Ferney|Stephen|J.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
21:31.0Z|2013-11-14T11:58:04.0Z||ParklandTest4.2|2013-11-14T11:58:04.0Z|D||v10_6
|1043270358|1043270358001||||||||||||||||32.81096|-96.83699|Y|
6769002869001|||OBG||Espy|Muriel|Jeannette|MD||19401 Hubbard Drive||Dearborn|MI|
48126|19401 Hubbard Dr||Dearborn|MI|481262641|3139828243|3139828686|||2013-07-27
.0Z|U|New|v10_6|1346385937|1346385937001||||||||||||||||42.31962|-83.22818|Y|AM
6769320527001|||||Donoghue|Michele|M|NP||8631 NAMOZINE RD||AMELIA COURT HOUSE|VA
|23002|8631 Namozine Rd||Amelia Court House|VA|230023410|8045614333|8045616263||
-14T22:53:22.0Z|N||v10_6|1619118403|1619118403001||||||||||||||||37.23916|-77.76
04|Y|
6769691390002|||FP||Caratachea|Krystyna||||12 Bruton Ave||NEWPORT NEWS|VA|23601|
12 Bruton Ave||Newport News|VA|236011602|7575944111|7575944115|||2013-11-14T23:4
N||v10_6|1811951585|1811951585002||||||||||||||||37.07783|-76.46292|Y|AM
6769692190001|BY9747215||||Eotots|Juan|||eo2ts, iKnowMed 812106 MED|100 Cll Del
Cristo||San Juan|PR|00901|100 Calle Del Santo Cristo||San Juan|PR|009011331|7877

911000|7878716245|||2013-05-01T20:28:19.0Z|2019-01-01T00:00:00.0Z|New~CIMessage~
CIEvent|USOncologyiKM106Test|2013-11-14T23:11:00.0Z|U|New|v10_6mu2|1396754289|13
96754289001||||||||||||juan.eotots.eo2ts@msh.direct-ci-cert.com||CI EDI||18.4664
4|-66.11839|Y|
6770591942001|||IM||Sukumar|Suja||MD||131 Kercheval Avenue||Grosse Pointe|MI|482
36|131 Kercheval Ave||Grosse Pointe Farms|MI|482363629|3133435919|3133435978|||2
T19:41:22.0Z|U|New|v10_6|1811065352|1811065352001||||||||||||||||42.39628|-82.90
211|Y|AM
6773359016001|||PD||Sayed|Esha||MD||6530 Farmington Road||West Bloomfield|MI|483
22|6530 Farmington Rd||West Bloomfield|MI|483223216|2486618230|2486615300|||2012
-10-11T18:15:28.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19
:45:47.0Z|U|New|v10_6|1437130325|1437130325001||||||||||||||||42.5419|-83.38104|
Y|AM
6774053295004|||||BERKOWITZ|BENNETT||||12 A. North Airmont Road||Suffern|NY|1090
1|12A N Airmont Rd||Suffern|NY|109015152|8453683429|8453688679|||2013-11-14T22:5
N||v10_6|1497842066|1497842066004||||||||||||||||41.11435|-74.11403|Y|
6774421385001|||||Zimmerman|Marc||MD||974 Route 45|Suite 1200|Pomona|NY|10970|97
4 Route 45|Ste 1200|Pomona|NY|109703568|8453623970|8453623972|||2013-11-14T23:15
||v10_6|1568543742|1568543742001||||||||||||||||41.1696|-74.03207|Y|AM
6774737061001|||END||Levy|Shiri||MD||39450 West 12 Mile Road||Novi|MI|48377|3945
0_6|1992873442|1992873442001||||||||||||||||42.49805|-83.43774|Y|AM
6775063236001|||OBG||Woodard|Libby|A|CNM|PREVEA HEALTH|1715 DOUSMAN ST||GREEN BA
Y|WI|54303|1715 Dousman St||Green Bay|WI|543033211|9204964700|9204051432|||201310-07T20:42:43.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:11:
46.0Z|U|New|v10_6|1033558267|1033558267001||||||||||||||||44.53305|-88.0657|Y|AM
6776348164001|||||Richards|Robert|W Jr.|MD||246 Adley Way||Greenville|SC|29607|2
46 Adley Way||Greenville|SC|296076511|8642880330|8642880350|||2013-11-14T22:16:3
v10_6|1598896144|1598896144001||||||||||||||||34.81693|-82.28523|Y|AM
6776495140001|||||Stokes|Gordon|K|MD||397 Little Neck Road, Suite 120||Virginia
sTest|2013-11-14T22:43:23.0Z|U|New|v10_6|1447222815|1447222815001|||||||||||||||
|36.84283|-76.09177|Y|AM
6776771845002|GF5465481||||TestCaseSixTestCaseSixTestCaseSixTe|AddPrescriberAddP
rescriberAddPrescr|||esmgecps|777 Differentls12345123451234512345|886 AddressLin
e23456234562345623456|Salem|OR|973053027|777 DIFFERENTLS12345123451234512345||Sa
lem|OR|97305|5032333322|5032333323|||2013-11-14T18:44:14.0Z|2099-12-31T08:00:00.
0Z|New|KryptiqQA|2013-11-15T00:22:35.0Z|N|New|v4_20|1898751233|1898751233002||||
||||||||||||44.98578|-122.97018|N|AM
6777616171001|||||BACKER|TOM|B|||6300 Olsen Memorial Hwy||Golden Valley|MN|55427
|6300 Highway 55||Golden Valley|MN|554274946|7637972188|8885551212|tbacker@geema
il.com||2011-01-20T15:24:17.0Z|2099-12-31T23:59:59.0Z|New|Optumtest4.20|2013-1114T21:48:27.0Z|U|New|v10_6mu2|9943331531|9943331531001||||||||||||||||44.98478|93.36022|Y|
6777766265001|||||Simpson|Glenn||CRNA||2 Crosfield Avenue|255 Lafayette Avenue|S
25|Y|
6777934293001|||||Fixler|David|E.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1316916711|1316916711001||||||||||||||||32.81096|-96.83699|Y|
6778462948002|||||LONBERG|MATHEW||||500C NEW HEMPSTEAD ROAD||NEW CITY|NY|10956|5

00 New Hempstead Rd|Ste C|New City|NY|109561143|8453621750|8453621577|||2013-1114T23:05:16.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:05
:16.0Z|N||v10_6|1235186065|1235186065002||||||||||||||||41.14964|-74.03305|Y|
6779154742001|||RHU||Bishnoi-Singh|Amita||MD||3500 15 Mile Road||Sterling Height
s|MI|48310|3500 15 Mile Rd||Sterling Heights|MI|483105353|8557438643|5869776433|
||2013-02-27T22:38:52.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11
-14T19:44:59.0Z|U|New|v10_6|1427151067|1427151067001||||||||||||||||42.54934|-83
.07304|Y|AM
6779507683001|||PD||Leatherwood|Stacy||MD||3031 West Grand Blvd., Suite 800||Det
roit|MI|48202|3031 W Grand Blvd|Ste 800|Detroit|MI|482023141|3139163121|31391675
48|||2012-10-11T18:13:44.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013
-11-14T19:43:38.0Z|U|New|v10_6|1306993118|1306993118001||||||||||||||||42.36928|
-83.07642|Y|AM
6780382126001|||||Reddy|Shashidhar||MD||777 Walter reed Blvd #201||Dallas|TX|750
42|777 Walter Reed Blvd|Ste 201|Garland|TX|750423724|9722723417|9724871749|||201
22:52:58.0Z|N||v10_6|1467535484|1467535484001||||||||||||||||32.91974|-96.66409|
Y|AM
6780695071001|||U||Farah|Riad||MD||2799 West Grand Blvd.||DETROIT|MI|48202|2799
10_6|1851451728|1851451728001||||||||||||||||42.36731|-83.08504|Y|AM
6781863033001|||||Ferrel|Nancy||MD||101 Harris Rd|CMG Float|Kilmarnock|VA|22482|
101 Harris Rd||Kilmarnock|VA|224823880|8044358570|8044358037|||2013-11-14T23:18:
|v10_6|1053585141|1053585141001||||||||||||||||37.70147|-76.38655|Y|AM
6782856663001|||OS||Peters|June|Marie|NP|COMMUNITY MEMORIAL HOSPITAL|835 S MAIN
ST STE 2
0||OCONTO FALLS|WI|54154|835 S Main St|Ste 2|Oconto Falls|WI|5
41541282|9208469995|9208468031|||2013-08-19T21:08:58.0Z|2014-11-14T06:00:00.0Z|N
ew~Refill|PreveaTest|2013-11-14T20:11:55.0Z|U|New|v10_6|1487637658|1487637658001
||||||||||||||||44.86702|-88.12917|Y|AM
6783591616002|||ORS||Antonio|David|R|MD||P O Box 609|West End Orthopaedic Clinic
|Kilmarnnock|VA|22482|PO Box 609||Kilmarnock|VA|224820609|8044353146|8044356054|
1-14T22:25:36.0Z|U|New|v10_6|1750374005|1750374005002||||||||||||||||37.71856|-7
6.35328|N|AM
|||||||||40.57671|-111.86159|N|
t|2013-11-14T21:11:53.0Z|N||v10_6|8519404056|8519404056002|PA|||||||||||||||40.5
7671|-111.86159|N|
6784602693002|||US||RONEN|TAL||||155 Crystal Run Road||Middletown|NY|10941|155 C
rystal Run Rd||Middletown|NY|109414028|8457965503|8457036280|||2013-11-14T23:09:
|v10_6|1801878004|1801878004002||||||||||||||||41.45197|-74.3568|Y|AM
6785821930001|||||Pucci|Edward||DO||11 North Airmont Road|Suite A10|Suffern|NY|1
0901|11 N Airmont Rd|Ste A10|Suffern|NY|109015103|8453681500|2014472809|||2013-1
08:23.0Z|N||v10_6|1306845540|1306845540001||||||||||||||||41.11376|-74.11311|Y|
6786482516001|||ORS||Crowl|Adam||MD||7858 Shrader Road|Advanced Orthopaedic Cent
ers|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|80427392
3-11-14T22:20:32.0Z|U|New~Refill|v10_6|1457327652|1457327652001||||||||||||||||3
7.62635|-77.5264|Y|AM
6786844335002|||GP||Clarke|Darius|N|MD||527 Kerry Lake Dr|Restorative Health We

lness|richmond|VA|23226|527 Kerry Lake Dr||Richmond|VA|23226|8042885700|80467344
3-11-14T22:25:05.0Z|U|New|v10_6|1073574497|1073574497002||||||||||||||||37.58269
|-77.51695|N|AM
6787097289001|||||Chough|Dae|B|MD||5838 Harbour View Blvd.|Suite 270|Suffolk|VA|
23435|5838 Harbour View Blvd|Ste 270|Suffolk|VA|234353602|7575411050|7575411097|
1-14T23:46:31.0Z|N||v10_6|1881616134|1881616134001||||||||||||||||36.8718|-76.44
114|Y|AM
6787144958001|||||Earnest|Russell||MD||1336 Alverser Plaza|Earnest Foot & Ankle
Specialists|Midlothian|VA|23113|1336 Alverser Plz||Midlothian|VA|231132604|80459
ecoursTest|2013-11-14T22:20:03.0Z|U|New~Refill|v10_6|1992817480|1992817480001|||
|||||||||||||37.51061|-77.61623|Y|
6788177569001|||PD||Thies|Nichole|M|APRN-NP|Children's Physicians - Eagle Run|13
808 W Maple Rd STE 100|Children's Physicians - Eagle Run|OMAHA|NE|68164|13808 W
Maple Rd|Ste 100|Omaha|NE|681646231|4029553000|4029557055|nthies@childrensomaha.
29272|-96.12936|Y|AM
6788631185002|||||Ali Mohammad|Zahra|Tina|MD||5201 HARRY HINES BLVD||DALLAS|TX|7
|U|New|v10_6|1427287499|1427287499002||||||||||||||||32.81096|-96.83699|Y|
6789039073001|||||Lashley|Jennifer|L|PA||3 St. Francis Dr|Suite 300|Greenville|S
C|29601|3 Saint Francis Dr|Ste 300|Greenville|SC|296013972|8642338063|8642335971
|||2013-11-14T23:27:16.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|201311-14T23:27:16.0Z|N||v10_6|1336323401|1336323401001||||||||||||||||34.8411|-82.4
2174|Y|AM
6789525105001|||FP||Jones|David|Anthony|MD||1750 E LAKE SHORE DRIVE SUITE 120||D
ECATUR|IL|62521|1750 E Lake Shore Dr|Ste 120|Decatur|IL|625213814|2174249193|217
13-11-14T20:12:01.0Z|U|New|v10_6|1942292412|1942292412001||||||||||||||||39.8264
4|-88.93306|Y|AM
6789574319001|||||Hadfield|Mark||MD||13700 St. Francis Blvd, S-103|West End Orth
opaedic Clinic|Midlothian|VA|23114|13700 St Francis Blvd|Ste 103|Midlothian|VA|2
31143222|8043792414|8043792413|||2013-11-12T19:52:17.0Z|2014-11-14T05:00:00.0Z|N
ew~Refill|BonSecoursTest|2013-11-14T22:18:10.0Z|U|New|v10_6|1154396356|115439635
6001||||||||||||||||37.46622|-77.65855|Y|AM
6790714177001|||||Protic|John||MD||225 Williamson Street||Elizabeth|NJ|72023|225
Williamson St||Elizabeth|NJ|072023625|9089945479|9089945573|||2013-11-12T20:29:
10.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:08:17.0Z|U|
New|v10_6|1437193620|1437193620001||||||||||||||||40.65939|-74.21457|Y|AM
6790921293001|||||Pitman|John|M III|MD||324 MONTICELLO AVE||WILLIAMSBURG|VA|2318
5|324 Monticello Ave||Williamsburg|VA|231852834|7572295200|7572292692|||2013-1114T22:40:20.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:40
:21.0Z|N||v10_6|1275635229|1275635229001||||||||||||||||37.27997|-76.72493|Y|AM
eName|ACNP|sampleClinicName|"> From <"|&'> To <'|Allen Park|MI|70000|"> From <"|
|Allen Park|MI|70000|8877665544|7766554433|mail@mail.com|8877665544^WP~887766554
4^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-15T05:01:29.0Z|2013-11-14
T21:59:50.0Z|New|AmericanChoice|2013-08-15T05:01:29.0Z|D||v10_6|9959502117|99595
02117001|Doctor|sampleFileID|sampleMedicareNumber|sampleMedicaidNumber|sampleDen
tistLicenseNumber|sampleUPIN|samplePPONumber|888888888|sampleAuthorization||||||
||||AM
6792750518001|||EM||Dohlman|Robert|L|MD|DURAND FAMILY CLINIC|905 7TH AVENUE W||D
URAND|WI|54736|905 7th Ave W||Durand|WI|547361755|7156725981|7156723457|||2013-0
9-16T15:18:22.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|2013-11-14T20:12:03.0Z|U|
New|v10_6|1154381069|1154381069001||||||||||||||||44.62151|-91.96309|Y|AM
6793330237001|||||Ali-Osman|Francis|R.|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523

New|v10_6|1447430491|1447430491001||||||||||||||||32.81096|-96.83699|Y|
6795277287001|||||Chen|Robert||MD||171 Ramapo Road||Garnerville|NY|10923|171 Ram
apo Rd||Garnerville|NY|109231552|8456244455|8459472265|||2013-11-14T22:56:14.0Z|
|1487636486|1487636486001||||||||||||||||41.20087|-73.98957|Y|AM
6796599184001|||||Stine|Ronald|A|MD||844 Kempsville Rd|Suite 204|Norfolk|VA|2350
3:20.0Z|N||v10_6|1073580411|1073580411001||||||||||||||||36.85244|-76.18978|Y|AM
6798390541001|||||Boyd|John|W|||101 Philip Roth Street|Peninsula Gastroenterolog
y|Newport News|VA|23601|101 Philip Roth St||Newport News|VA|236061393|7575996333
sTest|2013-11-14T23:43:16.0Z|U|New|v10_6|1477558229|1477558229001|||||||||||||||
|37.08529|-76.48962|Y|AM
6798900489001|||||Vogel|Gerald||MD||4 Medical Park Drive|SUITE C|Pomona|NY|10970
|4 Medical Park Dr|Ste C|Pomona|NY|109703541|8453620202|8453621347|||2013-11-14T
.0Z|N||v10_6|1366532343|1366532343001||||||||||||||||41.16712|-74.0338|Y|AM
6799207462001|||||Tugal|Oya||MD||New York Medical College||Valhalla|NY|10595|New
York Medical College||Valhalla|NY|10595|9144937997|9145944022|||2013-11-14T23:1
N||v10_6|1093707838|1093707838001||||||||||||||||41.08549|-73.78178|N|AM
6800038542001|||N||Barkley|Gregory|L|MD||2799 West Grand Blvd.||DETROIT|MI|48202
|New|v10_6|1851466593|1851466593001||||||||||||||||42.36731|-83.08504|Y|AM
6800047097006|AM1465308||||PATCH|BHARATI|||Mike's 11.2 Test Org|PAIN MGMT W/ EMP
HASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|OH|45040|5
132042340|5137707700|||2012-03-12T13:57:18.0Z|2096-11-14T17:05:47.0Z|New~Refill~
Change~MedHistory|MedPlusQA4|2013-11-14T17:03:59.0Z|U|New~Refill~Change~MedHisto
ry|v4_20|1236789016|1236789016006|||||||||||||||||||
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T09:54:27.0Z|201
n||||||||||AM
6801387799001|||||Andra|Kelly|M|MD||20 NE Saint Lukes Blvd|Ste 200|Lee's Summit|
MO|64086|20 NE Saint Lukes Blvd|Ste 200|Lees Summit|MO|640866001|8163475100|8163
475138|||2013-11-13T22:06:48.0Z|2014-11-14T06:00:00.0Z|New~Refill|SLHS10.6|201311-14T06:00:08.0Z|U|New|v10_6|1275754202|1275754202001||||||||||||||||38.94141|94.3807|Y|AM
6801417091002|||||Padhya|Kunjali|Tushar|MD||5201 HARRY HINES BLVD||DALLAS|TX|752
|New|v10_6|1982867560|1982867560002||||||||||||||||32.81096|-96.83699|Y|
|||||||||40.57671|-111.86159|N|
t|2013-11-14T21:47:07.0Z|N||v10_6|4688545233|4688545233002|PA|||||||||||||||40.5
7671|-111.86159|N|
6802734627001|||||Monts-Thompson|Renee||CRNA||222 Route 59|255 Lafayette Avenue|
Suffern|NY|10901|222 Route 59||Suffern|NY|109015204|8453685039|8453685327|||2013
3:25:18.0Z|N||v10_6|1447251954|1447251954001||||||||||||||||41.11288|-74.11188|Y
|
6802845944001|||||Resnik|Ephraim||MD||2 MEDICAL PARK DRIVE||POMONA|NY|10970|2 Me
_6|1316966443|1316966443001||||||||||||||||41.16732|-74.03342|Y|AM
6803547671001|||||Payne|Loel|Z|MD||901 ENTERPRISE PARKWAY||HAMPTON|VA|23666|901
Enterprise Pkwy||Hampton|VA|236666249|7578272480|7578272015|||2013-11-14T22:40:0
v10_6|1245238195|1245238195001||||||||||||||||37.05827|-76.40673|Y|AM
6803620361001|||||Clayton|John|||Good Site II|10 Main St||Charlotte|NC|28277|10
Main St||Charlotte|NC|28277|7045756300|7045756300|lorissa.hauthmabey@lashgroup.c
om||2013-11-14T16:53:59.0Z|2099-01-01T00:00:00.0Z|New~Refill~Change~Cancel|LashG
roupTest|2013-11-14T16:54:00.0Z|N||v10_6mu2|1871701847|1871701847001||||||||||||
||||35.06785|-80.81988|N|
6803658551001|||||Lester|Karla|L|PA-C||Powdersville Family Practice|10701 Anders
on Road|Easley|SC|29642|10701 Anderson Rd||Easley|SC|296429309|8642952500|864295
013-11-14T23:19:50.0Z|N||v10_6|1689612152|1689612152001||||||||||||||||34.77714|
-82.48803|Y|AM
6803850250002|||CLP||Cha|Jai||||736 N.BATTLEFIELD BL||CHESAPEAKE|VA|23320|736 Ba
ttlefield Blvd N||Chesapeake|VA|233204941|7573126118|7573126235|||2013-11-14T23:
|N||v10_6|1124024773|1124024773002||||||||||||||||36.74609|-76.24608|Y|AM
6805278780001|||GS||Yahanda|Alan|M|MD||11141 Parkview Plaza Dr, Ste 305||Fort Wa
yne|IN|46845|11141 Parkview Plaza Dr|Ste 305|Fort Wayne|IN|468451715|2602668900|
2602668935|ayahanda@med-web.com||2013-04-08T17:46:09.0Z|2014-11-14T05:00:00.0Z|N
ew~Refill|ParkviewHospitalTest|2013-11-14T19:45:40.0Z|U|New|v10_6|1366443129|136
6443129001||||||||||||||||41.1896|-85.1|Y|AM
6805657759001|||||Batra|Brijender||MD||974 Route 45|Suite 106|Pomona|NY|10970|97
4 Route 45|Ste 106|Pomona|NY|109703520|8453621200|8453620907|||2013-11-14T22:54:
|v10_6|1033283106|1033283106001||||||||||||||||41.1696|-74.03207|Y|AM
6810427529001|||||Gottschalk|Frank|A.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235
ew|v10_6|1336109321|1336109321001||||||||||||||||32.81096|-96.83699|Y|
6811969743001|||FP||Hartman|Aaron||MD||Family Practice Associates|13911 St. Fran
cis Blvd, S-101|Midlothian|VA|23114|13911 St Francis Blvd|# 101|Midlothian|VA|23
1143256|8043203999|8043239383|||2012-03-08T19:13:48.0Z|2014-11-14T05:00:00.0Z|Ne
0770170001||||||||||||||||37.46639|-77.66217|Y|AM
6812426511001|||IM||Enacopol|Iulia|A|MD|PMG Lemont IM|15947 127th|Suite B01|Lemo
nt|IL|60439|15947 W 127th St|Ste B01|Lemont|IL|604397421|6302436300|6302060967|i
ulia.enacopolmd@provena.org||2013-09-03T20:00:13.0Z|2014-11-14T06:00:00.0Z|New~R
efill|ResurrectionTest4x|2013-11-14T17:15:04.0Z|U|New|v10_6|1447452917|144745291
7001||||||||||||||||41.65659|-88.00524|Y|AM
6812597881001|||||Clarke|Rose||NP||Good Samaritan Hospital|255 Lafayette Ave|Suf
T23:24:04.0Z|N||v10_6|1255368254|1255368254001||||||||||||||||41.11199|-74.13325
|Y|
6812967381001|||IM||Harris|Terea||MD||24555 Haig Road||Taylor|MI|48180|24555 Hai
g St||Taylor|MI|481803322|3133752000|3133752305|||2012-10-11T18:08:25.0Z|2014-11
400691|1356400691001||||||||||||||||42.2367|-83.27328|Y|AM
6813009225001|||||Iudica-Souza|Carla||MD||5 Medical Park Drive||Pomona|NY|10970|

5 Medical Park Dr||Pomona|NY|109703516|8453623111|8453623198|||2013-11-14T23:01:
|v10_6|1518051820|1518051820001||||||||||||||||41.16659|-74.03187|Y|AM
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T05:26:44.0Z|201
n||||||||||AM
77665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T05:26:46.0Z|201
n||||||||||AM
6813699173002|||||Cuthbert|Jennifer|A.|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1598850612|1598850612002||||||||||||||||32.81096|-96.83699|Y|
6813956417001|NN3274658||||Test|Alex||||1971 Milky Way Rd||Verona|WI|53705|1971
Milky Way Rd||Verona|WI|53705|6081112222|6082223333|||2013-11-14T20:59:22.0Z|209
9-12-31T00:00:00.0Z|New~Refill|EpicPharmacy|2013-11-14T20:59:22.0Z|N||v10_6|1588
641420|1588641420001||||||||||||||||43.07279|-89.45947|N|
6814570159001|||||Goohya|Usha||MD||6 LIBERTY SQUARE MALL|RTE 9W|Stony Point|NY|1
0901|6 Liberty Square Mall||Stony Point|NY|109802400|8459424222|8459424223|||201
22:59:51.0Z|N||v10_6|1508862137|1508862137001||||||||||||||||41.22182|-73.98521|
Y|AM
6815565992001|||||Straley|Andrew|C|MD||705 Mobjack Place|, Suite B|NEWPORT NEWS|
VA|23606|705 Mobjack Pl||Newport News|VA|236061966|7578732101|7578732118|||201311-12T20:19:36.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22
:43:26.0Z|U|New|v10_6|1336252345|1336252345001||||||||||||||||37.08368|-76.4739|
Y|
6816124336002|||CD||Parker|John|P|MD||844 Kempsville Rd|Suite 204|Norfolk|VA|235
39:41.0Z|N||v10_6|1649246695|1649246695002||||||||||||||||36.85244|-76.18978|Y|A
M
|||||||||40.57671|-111.86159|N|
6817045316001|||||Taylor|Travis|Jay|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1891021176|1891021176001||||||||||||||||32.81096|-96.83699|Y|
6817580031001|||||Facelle|Joan||MD||Robert Yeager Health Center|Sanitorium Road
Biilding D|Pomona|NY|10970|Sanatorium Rd|Biilding D|Pomona|NY|109703550|84536425
ursTest|2013-11-14T22:57:57.0Z|N||v10_6|1649204272|1649204272001||||||||||||||||
41.16083|-74.03936|Y|AM
6817826376001|||OPH||Carey|John|D|MD||5500 Auto Club Drive||Dearborn|MI|48126|55
00 Auto Club Dr||Dearborn|MI|481262779|3135628000|3134254463|||2013-07-27T04:46:
ew|v10_6|1104986504|1104986504001||||||||||||||||42.32778|-83.22224|Y|AM
6817835047001|||||Ray|Daniel||MD||1000 St. Christopher Dr.||Ashland|KY|41101|100
0 Saint Christopher Dr||Ashland|KY|411017034|6068333605|6068333619|||2013-11-12T
.0Z|U|New|v10_6|1417995739|1417995739001||||||||||||||||38.50921|-82.69298|Y|AM
6818315593001|||||Ramsay|Paula||CRNA||484 Temple Hill Road|255 Lafayette Avenue|
-14T23:25:44.0Z|N||v10_6|1003866948|1003866948001||||||||||||||||41.11199|-74.13
325|Y|
6819205546001|||||Camponovo|Ernest|J|||5995 OPUS PKWY., STE||MINNETONKA|MN|55343
|5995 Opus Pkwy||Minnetonka|MN|553438387|9523921100|9529352757|||2013-11-14T23:4
N||v10_6|1588661904|1588661904001||||||||||||||||44.89667|-93.40747|Y|AM
6819971337001|||PD||Briles|John||MD||42633 Garfield, Suite 314||CLINTON TOWNSHIP
|MI|48038|42633 Garfield Rd|Ste 314|Clinton Township|MI|480385033|5862267007|586
2267033|||2012-10-11T18:13:08.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest
|2013-11-14T19:42:38.0Z|U|New|v10_6|1467661017|1467661017001||||||||||||||||42.6
1047|-82.95298|Y|AM
6820917725001|||||Goldenberg|Andrew||MD||974 Route 45||Pomona|NY|10970|974 Route
45||Pomona|NY|109703520|8453543700|8453545439|||2013-11-14T22:59:37.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:59:37.0Z|N||v10_6|1932272
697|1932272697001||||||||||||||||41.1696|-74.03207|Y|AM
6821590133001|||OPH||Rosenberger|William||MD||430 Clairmont Court, S-121|Virgini
a Eye Institute|Colonial Heights|VA|23834|430 Clairmont Ct|# S-121|Colonial Heig
hts|VA|238341770|8045240610|8042851949|||2012-03-08T19:18:09.0Z|2014-11-14T05:00
:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:21:24.0Z|U|New~Refill|v10_6|17302
86048|1730286048001||||||||||||||||37.26767|-77.40001|Y|AM
6821668410149|AS9432042||AN||Evans|Lily|||PATIENT FIRST - MIDLOTHIAN|8110 MIDLOT
HIAN TURNPIKE||NORTH CHESTERFIELD|VA|23235|8110 Midlothian Tpke||North Chesterfi
eld|VA|232355100|8043208160|8048641752|||2013-11-14T15:17:55.0Z|2063-11-02T00:00
:00.0Z|New~Refill|PatientFirst106|2013-11-14T15:17:55.0Z|N||v10_6mu2|1871598417|
1871598417149||||||||||||||||37.49741|-77.54616|Y|AM
6821668410150|AS9432042||AN||Evans|Lily|||esmgecps|2800 Crystal Drive||Arlington
|VA|22202|2800 Crystal Dr||Arlington|VA|222023589|5032332233|5032332234|||2013-1
1-14T19:06:31.0Z|2099-12-31T08:00:00.0Z|New|KryptiqQA|2013-11-15T00:27:07.0Z|N||
v4_20|1871598417|1871598417150||||||||||||||||38.84755|-77.05241|Y|AM
6822585306001|||||Inciong|Jesus|Gil B|MD||400 W Brambleton Avenue, Ste 101|Magee
-Rosenblum Plastic Surgery|Norfolk|VA|23510|400 W Brambleton Ave|Ste 101|Norfolk
|VA|235101115|7576276700|7576278973|||2013-11-12T20:14:31.0Z|2014-11-14T05:00:00
.0Z|New~Refill|BonSecoursTest|2013-11-14T22:33:56.0Z|U|New|v10_6|1528245297|1528
245297001||||||||||||||||36.8541|-76.29687|Y|AM
6822693449001|TT2523254||||Thumb|Tom|erx||Anchor Hospital|5454 Yorktowne Drive||
13-11-14T14:23:26.0Z|N||v10_6|1234533789|1234533789001||||||||||||||||33.60634|84.45192|Y|
6822853464001|||||Kosharskyy|Boleslav||MD||255 Lafayette Avenue|Good Samaritan H
ospital|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|8453
|2013-11-14T23:03:11.0Z|U|New|v10_6|1922081264|1922081264001||||||||||||||||41.1
1199|-74.13325|Y|AM
6825555157001|||||Gorelick|Risa||MD||200 Airport Executive Park|Suite 205|Nanuet
|2013-11-14T22:59:56.0Z|N||v10_6|1811978968|1811978968001||||||||||||||||41.1079
9|-74.02779|Y|AM
6825626651001|AK3040398||||Provfour|ManjQA|||Manju QA Site IL4|123 Main St.|Ste
104|Chicago|IL|60115|123 Main St.||Chicago|IL|60115|3125555555|3125554444|manjun
atha.shadaksharaiah@allscripts.com||2013-07-19T05:46:53.0Z|2099-12-31T00:00:00.0
Z|New~Refill|PSAllScriptsTest_4x|2013-11-14T14:05:09.0Z|U|New|v4_20|1013008036|1
013008036001||||||||||||||||41.93212|-88.7533|N|
6825626651002|AK3040398||||Provfour|ManjQA|||Manju QA Site IL4|123 Main St.|Ste
104|Chicago|IL|60115|123 Main St.||Chicago|IL|60115|3125555555|3125554444|manjun
atha.shadaksharaiah@allscripts.com||2013-07-19T05:47:01.0Z|2099-12-31T00:00:00.0
Z|MedHistory~Eligibility|Allscripts4.0Test|2013-11-14T14:05:11.0Z|U|MedHistory~E
ligibility|v4_0|1013008036|1013008036002||||||||||||||||41.93212|-88.7533|N|
6826494010001|||N||Basarvaraj|Durgada||MD||110 N. Robinson||Richmond|VA|23220|11
0 N Robinson St||Richmond|VA|232204459|8046121100|8046128417|||2012-03-08T19:15:
22.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:19:49.0Z|U|
New~Refill|v10_6|1629136403|1629136403001||||||||||||||||37.55327|-77.47279|Y|AM
6827396253002|||||BAILEY|MAUREEN||||Paris View Family Practice|1028 North Church
Street|Greenville|SC|29601|1028 N Church St||Greenville|SC|296011639|8642711464
sTest|2013-11-14T23:23:05.0Z|N||v10_6|1699775882|1699775882002||||||||||||||||34
.8604|-82.38451|Y|
6827678312002|||GS||Heath|Kirk||||1120 FIRSTCOLONIAL R #203||VA BEACH|VA|23454|1
120 First Colonial Rd|Ste 203|Virginia Beach|VA|234542418|7574814424|7574810132|
1-14T23:56:12.0Z|N||v10_6|1184838286|1184838286002||||||||||||||||36.86683|-76.0
2868|Y|AM
6827744900001|||||Rhee|Edward||MD||1 Crosfield Avenue|Suite 201|West Nyack|NY|10
3:09:14.0Z|N||v10_6|1376542845|1376542845001||||||||||||||||41.0925|-73.97863|Y|
AM
6828386568002|||N||Epps|Stacey||||601 Watkins Centre Parkway|Ste 250|Midlothian|
VA|23114|601 Watkins Centre Pkwy|Ste 250|Midlothian|VA|231144412|8043258750|8047
|2013-11-14T22:20:08.0Z|N||v10_6|1154391571|1154391571002||||||||||||||||37.4852
7|-77.64737|N|AM
6828665979001|||||Nastase|Liviu||MD||169 N MIDDLETOWN RD||Pearl River|NY|10965|1
69 N Middletown Rd||Pearl River|NY|109652057|8457354811|8457352618|||2013-11-14T
.0Z|N||v10_6|1922019165|1922019165001||||||||||||||||41.06577|-74.01292|Y|AM
6830322676001|AD9600695|2718822|||Number|Testfive||MD|Testfive Number's Practice
|27 Market||Emeryville|CA|94068|27 Market||Emeryville|CA|94068|5108986666|510898
9999|||2013-11-14T16:23:09.0Z|2099-12-31T08:00:00.0Z|New~Refill|RHC_Dev_106|2013
-11-15T01:03:09.0Z|N|New|v10_6|1669473872|1669473872001||3874|||||||||||||||||
6830698182001|||ORS||Worland|Richard|L|MD||7858 Shrader Road|Advanced Orthopaedi
c Centers|Richmond|VA|23294|7858 Shrader Rd||Richmond|VA|232944222|8042701305|80
st|2013-11-14T22:22:11.0Z|U|New~Refill|v10_6|1235105438|1235105438001|||||||||||
|||||37.62635|-77.5264|Y|AM
6830975432001|||||Mallavarapu|Mary||MD||67 North Main Street|2nd Floor|New City|
NY|10956|67 N Main St|Fl 2|New City|NY|109563700|8456348911|8456349002|||2013-11
5:38.0Z|N||v10_6|1245249499|1245249499001||||||||||||||||41.15026|-73.99013|Y|AM
6832576022002|||||Uddin|Fatema|Sultana|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1144430893|1144430893002||||||||||||||||32.81096|-96.83699|Y|
6832666344001|||||Kwa|Winston||MD||Good Samaritan Hospital|255 Lafayette Avenue|
-14T23:03:55.0Z|N||v10_6|1427156967|1427156967001||||||||||||||||41.11199|-74.13
325|Y|AM
6832723301001|||||Prendergast|Neal|J|MD|iSALUS Healthcare|212 W 10 St||Indianapo
lis|IN|46202|212 W 10th St|Ste B120|Indianapolis|IN|462025404|3176878119|3175363
978|||2013-06-17T20:50:26.0Z|2063-06-17T20:50:30.0Z|New~Refill|MOSTTest106|2013-
11-14T23:00:06.0Z|U|New~Refill|v10_6mu2|1841287489|1841287489001||||||||||||||||
39.78113|-86.16198|Y|
6832742251001|||||Greco|Robert||MD||255 Lafayette Avenue|Good Samaritan Hospital
1-14T23:00:09.0Z|U|New|v10_6|1811966906|1811966906001||||||||||||||||41.11199|-7
4.13325|Y|AM
6834493358001|||EM||Slade|Emily||PA||3636 High Street|, Maryview Medical Center|
Portsmouth|VA|23707|3636 High St||Portsmouth|VA|237073236|8882031274|8652913228|
1-14T23:17:21.0Z|U|New|v10_6|1922105709|1922105709001||||||||||||||||36.83694|-7
6.34796|Y|AM
6835308936001|||||Woolf|Paul||MD||New York Medical College||Suffern|NY|10901|New
York Medical College||Suffern|NY|10901|9145944370|9145944513|||2013-11-14T23:14
||v10_6|1790777464|1790777464001||||||||||||||||41.12422|-74.10845|N|AM
6836418593001|AX1122011||||TOTH|MIKE|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPHASI
S IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|OH|45040|51320
42340|5137707700|||2011-08-31T17:12:56.0Z|2096-11-14T17:05:41.0Z|New~MedHistory|
MedPlusQA4|2013-11-14T17:03:53.0Z|U|New~MedHistory|v4_20|||||||||||||||||||||
6836736739001|||||NQFF|NQFF|||Razor1|9800 Shoal Creek Blvd||Austin|TX|78757|9800
2.0Z|N||v10_6mu2|2481589051|2481589051001||||||||||||||||30.37025|-97.73773|Y|
6837040388001|||||Byrd|J|Abbott III|MD||230 Clearfield Avenue, Suite 124|Atlanti
c Orthopaedic Specialists|Virginia Beach|VA|23462|230 Clearfield Ave|Ste 124|Vir
ginia Beach|VA|234621832|7573213300|7573213330|||2013-11-12T20:11:00.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:28:17.0Z|U|New|v10_6|1609
831742|1609831742001||||||||||||||||36.84545|-76.1634|Y|AM
6837104160003|AA1339969||||PrescriberOne|One|||10.6 Test Site|123 main street|St
e 104|Chicago|IL|60656|123 Main Street||Chicago|IL|60656|3125555555|3125554444|a
nu.jindal@allscripts.com||2013-11-14T21:52:43.0Z|2099-12-31T00:00:00.0Z|New~Refi
ll~ControlledSubstance|AllScripts106|2013-11-15T00:22:54.0Z|N|New~ControlledSubs
tance|v10_6mu2|1861555609|1861555609003||||||||||||||||41.97794|-87.82588|N|
6837104160004|AA1339969||||PrescriberOne|One|||10.6 Test Site|123 main street|St
e 104|Chicago|IL|60656|123 Main Street||Chicago|IL|60656|3125555555|3125554444|a
nu.jindal@allscripts.com||2013-11-14T21:52:44.0Z|2099-12-31T00:00:00.0Z|MedHisto
ry~Eligibility|Allscripts4.0Test|2013-11-15T00:22:56.0Z|N|MedHistory~Eligibility
|v4_0|1861555609|1861555609004||||||||||||||||41.97794|-87.82588|N|
8877665544^BN~8877665544^HP~8877665544^NP|2013-11-14T09:54:22.0Z|2014-02-14T01:5
M
6837906695001|||||Tyree|Dionne|M|CRNA||13710 St Francis Boulevard||Midlothian|VA
|23114|13710 St Francis Blvd||Midlothian|VA|231143267|8045942622|8045940915|||20
T23:33:06.0Z|N||v10_6|1427389709|1427389709001||||||||||||||||37.46687|-77.65876
|Y|
6838100637001|||||Almandoz|Jaime||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1215060876|1215060876001||||||||||||||||32.81096|-96.83699|Y|
6838426545001|||||England|Dahlia|L|||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932|14
0Z|N||v10_6|1720170525|1720170525001||||||||||||||||35.93657|-84.14881|Y|AM
6838782087001|||||Reeves|Alexander|G|MD||5818 Harbour View Blvd|Harbour View Med

ical Cen|Suffolk|VA|23435|5818 Harbour View Blvd||Suffolk|VA|234353315|757215356
rsTest|2013-11-14T23:18:17.0Z|N||v10_6|1023251139|1023251139001||||||||||||||||3
6.86889|-76.4414|Y|AM
6838851486001|||||Eriksen|Roy||MD||187 South Broadway||South Nyack|NY|10960|187
S Broadway||Nyack|NY|109604425|8453585006|8453584340|||2013-11-14T22:57:51.0Z|20
881716934|1881716934001||||||||||||||||41.08364|-73.91954|Y|AM
6838951229001|||||Pucci|Richard||DO||11 North Airmont Road|Suite A10|Suffern|NY|
10901|11 N Airmont Rd|Ste A10|Suffern|NY|109015103|8453681500|2014472809|||201311-14T23:08:25.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:08:26.0Z|N||v10_6|1679572739|1679572739001||||||||||||||||41.11376|-74.11311|Y|
6841405817001|||||Valencia-Castillo|Alice||MD||16 Guion Place|Sound Shore Medica
l Center|New Rochelle|NY|10801|16 Guion Pl||New Rochelle|NY|108015502|9143654940
sTest|2013-11-14T23:13:42.0Z|U|New|v10_6|1962618934|1962618934001|||||||||||||||
|40.91284|-73.78756|Y|AM
6845109183001|||||Gordon|Richard||MD||3 Medical Park Drive||Pomona|NY|10970|3 Me
_6|1477649424|1477649424001||||||||||||||||41.16661|-74.03252|Y|AM
6845145153001|||||Foster|Daniel|W.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|52
v10_6|1851350987|1851350987001||||||||||||||||32.81096|-96.83699|Y|
is|2013-11-14T06:49:53.0Z|D|New|v10_6|1922063557|1922063557001||||||||||||||||29
.47159|-98.60189|Y|
6845315947001|||IM||Kobylak|Lester||MD||2799 West Grand Blvd.||DETROIT|MI|48202|
New|v10_6|1811065360|1811065360001||||||||||||||||42.36731|-83.08504|Y|AM
6845328470001|||||Chang|John|K|||5995 OPUS PKWY., STE||MINNETONKA|MN|55343|5995
Opus Pkwy||Minnetonka|MN|553438387|9523921100|9529352757|||2013-11-14T23:46:00.0
_6|1720063852|1720063852001||||||||||||||||44.89667|-93.40747|Y|AM
6845959363001|||FP||Woolley|Melba|Mechelle|PA||100 BELLEFONTE DR|BELLEFONTE PRIM
ARY CARE, GRAY|GRAYSON|KY|41143|100 Bellefonte Dr||Grayson|KY|411431820|60647406
ursTest|2013-11-14T23:20:51.0Z|U|New|v10_6|1235161902|1235161902001|||||||||||||
|||38.32718|-82.93994|N|AM
6845964413003|||||RUBIN|CHERYL||||327 Route 59|Suite 2|Airmont|NY|10952|327 Rout
e 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T23:09:47.0Z|2
1235121112|1235121112003||||||||||||||||41.11002|-74.09595|Y|
6846136862001|||||Silberberg|Charles||DO||728 North Main Street||Spring Valley|N
Y|10977|728 N Main St||New Square|NY|109778916|8453549300|8453541268|||2013-11-1
44.0Z|N||v10_6|1265473540|1265473540001||||||||||||||||41.13955|-74.03471|Y|AM
6846193442001|||||Brace|Jeffry|Alan|DO||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1730490467|1730490467001||||||||||||||||32.81096|-96.83699|Y|
6846405044001|||||Strassberg|Sonya||MD||255 Lafayette Avenue|Good Samaritan Hosp
13-11-14T23:12:46.0Z|U|New|v10_6|1700888450|1700888450001||||||||||||||||41.1119
9|-74.13325|Y|AM
6846688120002|||OBG||Demosthenes|Lauren|D|MD||Greenville OB-Gyn Associates|2 Mem
orial Medical Drive|Greenville|SC|29605|2 Memorial Medical Dr||Greenville|SC|296
054450|8642954210|8642950615|||2013-11-14T22:15:34.0Z|2014-11-14T05:00:00.0Z|New
~Refill|BonSecoursTest|2013-11-14T22:15:34.0Z|N||v10_6|1871538629|1871538629002|
|||||||||||||||34.81687|-82.42139|Y|AM
6847473926001|||||Willert|Jessica||MD||255 Lafayette Avenue|Good Samaritan Hospi
3-11-14T23:14:29.0Z|U|New|v10_6|1457324048|1457324048001||||||||||||||||41.11199
|-74.13325|Y|AM
6847614487002|||||Joseph|Jamie|Perry|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1831357375|1831357375002||||||||||||||||32.81096|-96.83699|Y|
6847653964001|||||Dabulis|Stephanie|A|||1431 CENTERPOINT BLV||KNOXVILLE|TN|37932
|1431 Centerpoint Blvd||Knoxville|TN|379321984|8882031274|8652913228|||2013-11-1
14.0Z|N||v10_6|1730152406|1730152406001||||||||||||||||35.93657|-84.14881|Y|AM
6848205384001|||||Medel|Michelle|Phi|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|
w|v10_6|1447517016|1447517016001||||||||||||||||32.81096|-96.83699|Y|
6849252062001|LK4578147||||longlastnametes|longfirstnamete|longmiddlenamet||Puls
e Medical Center|9857 new location street|Ste 200 Downstairs|Wood River Junc|RI|
02894|9857 New Location Street||Wood River Junction|RI|02894|3166348679|31646216
89|||2013-11-14T15:39:21.0Z|2099-12-31T00:00:00.0Z|New~Refill|PulseTest106|201311-14T16:31:17.0Z|N|New|v10_6mu2|6578484985|6578484985001||||||||||||||||41.4432
9|-71.71433|N|
6850096242005|FH1619052||||HEERMAN|WILLIAM|JOHN||Vanderbilt Adult Primary Care|1
215 21st Avenue South|Medical Center East, Suite 6000|Nashville|TN|37232|1215 21
st Ave S||Nashville|TN|372320014|6158355414|6159363224|bill.heerman@vanderbilt.e
du|6158355414^BN|2012-08-10T10:19:43.0Z|2013-11-14T01:01:18.0Z||VanderbiltTest|2
013-11-14T01:01:18.0Z|D|New~Refill|v10_6mu2|1598938060|1598938060005||074585||||
||||||||||36.14126|-86.8009|Y|
6850102099001|||||Kalvert|Michael||MD||365 South Main Street||New City|NY|10956|
365 S Main St||New City|NY|109563061|8456382101|8456380418|||2013-11-14T23:02:19
10_6|1750472262|1750472262001||||||||||||||||41.13503|-73.99144|Y|AM
6851190671001|||||Carstens-Elliot|Lynnea||CNM||134 ROUTE 59||Suffern|NY|10901|13
4 Route 59||Suffern|NY|109014917|8453575411|8453572347|||2013-11-14T23:23:58.0Z|
|1679592711|1679592711001||||||||||||||||41.11367|-74.12251|Y|
6852087983001||076815|||Pizon|Eric|||AMBQA62|Another Practice|8529 Six Forks Rd|
Raleigh|NC|276150000|8529 Six Forks Rd||Raleigh|NC|276152963|9191236548|91998756
43|mko@slkas.com||2013-11-14T17:29:53.0Z|2099-12-31T00:00:00.0Z|New~Refill|AllSc
ripts106|2013-11-14T17:29:53.0Z|N||v10_6mu2|1801837919|1801837919001||||||||59123-5794||||||||35.89517|-78.6505|Y|
6853410531003|BA4479081||IM||Test|MD|||FSLHC_ Emergency Department|1656 Champlin
Avenue||Utica|NY|13502|1656 Champlin Ave||Utica|NY|135024830|3156246000|3156245
031|rjones@mvnhealth.com||2013-11-14T20:25:38.0Z|2099-12-31T00:00:00.0Z|New|AllS
cripts106|2013-11-14T20:25:38.0Z|N||v10_6mu2|1003852328|1003852328003|||||||||||
|||||43.0984|-75.27819|Y|AM
6853648429002|||||KERNIS|STEVEN||||257 Lafayette Avenue|Suite 300|Suffern|NY|109
02:36.0Z|N||v10_6|1336103845|1336103845002||||||||||||||||41.11222|-74.13531|Y|
6854166033002|||||Efune|Guy|Etan|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201
0_6|1225202369|1225202369002||||||||||||||||32.81096|-96.83699|Y|
6854177873001|||EM||Zaid|Gary|J|MD|INFINITY HEALTHCARE INC|111 E WISCONSIN AVE||
MILWAUKEE|WI|53202|111 E Wisconsin Ave|Ste 2100|Milwaukee|WI|532024809|414290672
-11-14T20:12:50.0Z|U|New|v10_6|1316979032|1316979032001||||||||||||||||43.03834|
-87.90929|Y|AM
6854759928002|||OTO||Hahn|Jason||||1860 TOWN CENTER DR|SUITE 225|Reston|VA|20190
|1860 Town Center Dr|Ste 225|Reston|VA|201905905|7034833610|7034833616|||2013-11
5:21.0Z|N||v10_6|1831128149|1831128149002||||||||||||||||38.96133|-77.36633|Y|AM
6857149622002|||FP||McKenzie|Judith||||1401 Johnston Willis Drive||Richmond|VA|2
3235|1401 Johnston Willis Dr||North Chesterfield|VA|232354730|8043201333|8043205
13-11-14T22:47:37.0Z|N||v10_6|1215902887|1215902887002||||||||||||||||37.51082|77.59531|Y|AM
6858040424002|||GS||Addasi|Alaa||MD||613 23rd Street|Tri-State Vascular Group, S
TE 140|Ashland|KY|41101|613 23rd St||Ashland|KY|411012878|6063261675|6063261436|
1-14T22:48:11.0Z|U|New|v10_6|1154531416|1154531416002||||||||||||||||38.47124|-8
2.63295|Y|AM
6858579843001|AL4214932||||Ghosh|Soumitra|||Main|6666 Six Forks Road||Raleigh|NC
|27616|6666 Six Forks Rd||Raleigh|NC|276156518|9193296668|9198745120|||2013-01-2
4T11:03:48.0Z|2099-12-31T00:00:00.0Z|New~Refill|AllScripts106|2013-11-14T11:29:5
0.0Z|U|New~Refill|v10_6mu2|1447586748|1447586748001||||||||||||||||35.87082|-78.
64105|Y|
6858822789001|||FP||Vaughan|Gregory|D|MD||301 South 320th St||Federal Way|WA|980
03|301 S 320th St||Federal Way|WA|980035200|2538747000|2068770679|||2013-07-16T2
0:56:21.0Z|2014-11-14T08:00:00.0Z|New~Refill~Change~Cancel|GHCTest|2013-11-14T18
:51:13.0Z|U|New~Change~Cancel|v10_6|1750433033|1750433033001||||||||||||||||47.3
1427|-122.33191|Y|AM
6858879310001|||||Jablonski|Robert||MD||26 Franklin Avenue||Pearl River|NY|10965
|26 Franklin Ave||Pearl River|NY|109652403|8456246300|8457356320|||2013-11-14T23
Z|N||v10_6|1609906700|1609906700001||||||||||||||||41.05789|-74.02036|Y|AM
6862325350001|||||Bekritsky|Esther||MD||40 Robert Pitt Drive||Monsey|NY|10952|40
Robert Pitt Dr||Monsey|NY|109523333|8453526800|8453527292|||2013-11-14T22:54:36
10_6|1821172669|1821172669001||||||||||||||||41.11138|-74.06391|Y|AM
6863289123003|||||Rybalova|Irina||||500C NEW HEMPSTEAD ROAD||NEW CITY|NY|10956|5
00 New Hempstead Rd|Ste C|New City|NY|109561143|8453621750|8453621577|||2013-1114T23:09:53.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:09
:53.0Z|N||v10_6|1386864486|1386864486003||||||||||||||||41.14964|-74.03305|Y|
6864545416001|||||Shroyer|Michael|N|MD||901 Hampton Blvd||Norfolk|VA|23507|901 H
ampton Blvd||Norfolk|VA|235071503|7576230526|7576276471|||2013-11-12T20:19:08.0Z
|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:42:33.0Z|U|New|v
10_6|1760483937|1760483937001||||||||||||||||36.86476|-76.30236|Y|AM
6865794567001|||||Ravichandran|Lalitha||MD||1 Medical Park Drive|Suite 2A|Pomona
|NY|10970|1 Medical Park Dr|Ste 2A|Pomona|NY|109703516|8453625600|8453625616|||2
4T23:08:52.0Z|N||v10_6|1346214186|1346214186001||||||||||||||||41.16664|-74.0332
4|Y|AM
6866184768001|||||Mendez-Picon|Gerardo||MD||1800 GLEN SIDE DR||RICHMOND|VA|23226
|1800 Glenside Dr||Richmond|VA|232263769|8049684435|8049684463|||2012-03-08T19:2
U|New~Refill|v10_6|1841258332|1841258332001||||||||||||||||37.60507|-77.52577|Y|
6866788337001|||||Gulati|Gurjeet||MD||33 Germonds Road||New City|NY|10956|33 Ger
monds Rd||New City|NY|109562867|8456242748|8456242747|||2013-11-14T23:00:29.0Z|2
1730289679|1730289679001||||||||||||||||41.12006|-73.99697|Y|AM
6866839726001|||N||Assaad|Basel||MD||2799 W. Grand Blvd.||Detroit|MI|48202|2799
10_6|1154531937|1154531937001||||||||||||||||42.36731|-83.08504|Y|AM
6867844420001|||||Kakani|Ramanaiah||MD||300 Medical Pkwy Ste 120|Sentara Cardilo
gy Specialists|Chesapeake|VA|23320|300 Medical Pkwy|Ste 120|Chesapeake|VA|233204
985|7575472233|7575489443|||2013-11-12T20:14:47.0Z|2014-11-14T05:00:00.0Z|New~Re
|||||||||||||||36.74472|-76.24882|Y|AM
453902001|||||||||||||||||||
453902002|||||||||||||||||||
is|2013-11-14T06:50:18.0Z|D|New|v10_6|1922063345|1922063345001||||||||||||||||29
.47159|-98.60189|Y|
6869519788001|||||Polizzi|Gaspare||MD||599 STATE ROUTE 32||Highland Mills|NY|109
30|599 State Route 32||Highland Mills|NY|109305200|8459282550|8459287228|||201311-14T23:08:01.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:08:01.0Z|N||v10_6|1942276894|1942276894001||||||||||||||||41.3525|-74.12317|Y|A
M
6870450973001|||PD||Zzuser|Physician||MD||515 E Main St||COLUMBUS|OH|43215|515 E
Main St||Columbus|OH|432155304|6143553700|6143553747|||2012-03-14T15:50:59.0Z|2
041-03-31T04:00:00.0Z|New|Nationwidetest4x|2013-11-14T19:23:34.0Z|U|New|v10_6|12
34567893|1234567893001||||||||||||||||39.95754|-82.98574|Y|AM
6871409242001|||US||Ditmars|Donald||MD||19401 HUBBARD DR||DEARBORN|MI|48126|1940
1 Hubbard Dr||Dearborn|MI|481262641|3139828275|3139828461|||2012-10-11T18:06:58.
v10_6|1407919020|1407919020001||||||||||||||||42.31962|-83.22818|Y|AM
6872174878001|||IM||Moe|Ronelle|M|MD||555 REDBIRD CIRCLE|SUITE 300|DE PERE|WI|54
115|555 Redbird Cir|Ste 300|De Pere|WI|541157980|9203386870|9203386879|||2013-08
-25T12:53:03.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:13:05
.0Z|U|New|v10_6|1073688024|1073688024001||||||||||||||||44.43876|-88.03749|Y|AM
6872191666001|||US||Quigg|Mary|Helen|MD||3031 West Grand Blvd.||Detroit|MI|48202
|New|v10_6|1073680443|1073680443001||||||||||||||||42.36992|-83.07618|Y|AM
6873303781001|||||Bhatia|Bela||MD||695 Dutchess Turnpike #105||Poughkeepsie|NY|1
-14T22:55:22.0Z|N||v10_6|1770509523|1770509523001||||||||||||||||41.6988|-73.882
63|Y|AM
|abrajitha856785678@gmail.com||2013-11-14T18:13:30.0Z|2099-12-31T05:00:00.0Z|New
~Refill|DrFirstWW0Test4x|2013-11-14T18:13:31.0Z|N||v4_20|1154671873|115467187300
1||||||||||||||||38.92928|-77.40543|N|
6875075668001|||||Dates|Craig|A|MD||13700 St Francis Blvd ED||Midlothian|VA|2311
4|13700 St Francis Blvd|# Ed|Midlothian|VA|231143222|8045947950|8045947955|||201
22:25:16.0Z|N||v10_6|1265521629|1265521629001||||||||||||||||37.46622|-77.65855|
Y|AM
6875278502001|||IM||Keimig|William||MD||2799 West Grand Blvd.||DETROIT|MI|48202|
New|v10_6|1730257288|1730257288001||||||||||||||||42.36731|-83.08504|Y|AM
8877665544^CP~8877665544^BN~8877665544^HP~8877665544^NP|2013-08-15T05:01:34.0Z|2
ion||||||||||AM
6876625883001|||IM||Swiderek|Jennifer||MD||39450 West 12 Mile Road||Novi|MI|4837
7|39450 W 12 Mile Rd||Novi|MI|483773600|2486616475|2483442492|||2013-02-27T22:39
New|v10_6|1932318771|1932318771001||||||||||||||||42.49805|-83.43774|Y|AM
6878238050001|||||Simckes|Kenneth||DMD||2 Tauber Terrace||Monsey|NY|10952|2 Taub
er Ter||Monsey|NY|109521645|8453541441|8453624660|||2013-11-14T23:11:49.0Z|201411-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:11:49.0Z|N||v10_6|1891
783031|1891783031001||||||||||||||||41.14633|-74.07033|Y|
6878449852001|||||Fredt|Test||||1234 Mockingbird Lane||RICHARDSON|TX|75081|1234
Mockingbird Lane||Richardson|TX|75081|9723459999|9723458888|||2013-07-08T16:37:3
4.0Z|2099-12-31T00:00:00.0Z|New~Refill|iMedicaTest106|2013-11-14T23:46:51.0Z|U|N
ew~MedHistory|v10_6mu2|1234567813|1234567813001||||||||||||||||32.95018|-96.7113
7|N|
6878449852005|||||Fredt|Test||||1234 Mockingbird Lane||RICHARDSON|TX|75081|1234
Mockingbird Lane||Richardson|TX|75081|9723459999|9723458888|||2013-07-08T21:30:3
3.0Z|2099-12-31T00:00:00.0Z|New|iMedicaTest106|2013-11-14T23:46:53.0Z|U|New~MedH
istory|v10_6mu2|1234444890|1234444890005|NP|FILEID3|||DLTEST1||PPO456|||||||||32
.95018|-96.71137|N|
6878822645001|||OTO||Facer|Michelle|Lee|DO|NORTHERN PINES ENT|4956 BULLIS FARM R
OAD||EAU CLAIRE|WI|54701|4956 Bullis Farm Rd||Eau Claire|WI|547015168|7158313300
|7158317958|||2013-09-16T15:18:19.0Z|2014-11-14T06:00:00.0Z|New|PreveaTest|201311-14T20:13:09.0Z|U|New|v10_6|1861525032|1861525032001||||||||||||||||44.76798|91.42972|Y|AM
6879384306002|||||GOTTLIEB|SCOTT||||350 Haverstraw Road||Montebello|NY|10901|350
Haverstraw Rd||Montebello|NY|109013137|8453680800|8453680810|||2013-11-14T23:00
||v10_6|1720185515|1720185515002||||||||||||||||41.13506|-74.13082|Y|
6880259646002|||||Chuang|Yi|Ju|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201 H
6|1255560173|1255560173002||||||||||||||||32.81096|-96.83699|Y|
6881158441001|||PD|Dr.|Epicmd|Pediatrician||MD||ONE PERKINS SQ||AKRON|OH|44308|1
Perkins Sq||Akron|OH|443081063|3305433651|3305434194|||2010-09-23T17:03:31.0Z|2
013-11-14T05:00:00.0Z|New~Refill|AkronCHtest10dot6|2013-07-10T15:55:48.0Z|D|New~
Refill|v10_6|3412567893|3412567893001||||||||||||||||41.07886|-81.526|Y|AM
6881739580001|||||Apfelbaum|Mark||MD||173 Fort Washington Avenue|Suite 4-602|New
York|NY|10032|173 Fort Washington Avenue||New York|NY|10032|2123058108|21230536
3-11-14T22:53:46.0Z|N||v10_6|1477630531|1477630531001||||||||||||||||40.83858|-7
3.94211|N|AM
6883743125002|||GP||Gata|Renato||||858 J CLYDEMORRIS BL||NEWPORT NEWS|VA|23601|8
58 J Clyde Morris Blvd||Newport News|VA|236011303|7575944343|7575944321|||2013-1
53:06.0Z|N||v10_6|1073716106|1073716106002||||||||||||||||37.08448|-76.45881|Y|A
M
6884027767001|||||Kondylis|Philip|D|MD||5838 Harbour View Blvd|STE 240, Tidewate
r Surgical Speci|Suffolk|VA|23435|5838 Harbour View Blvd|Ste 240|Suffolk|VA|2343
52663|7574833030|7574847239|||2013-11-14T23:18:12.0Z|2014-11-14T05:00:00.0Z|New~
Refill|BonSecoursTest|2013-11-14T23:18:13.0Z|N||v10_6|1407842016|1407842016001||
||||||||||||||36.8718|-76.44114|Y|AM
6884281273001|||||Araujo|Erick||PA||Good Samaritan Hospital|255 Lafayette Ave|Su
ffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685029|8455653395|||2

4T23:23:32.0Z|N||v10_6|1285650630|1285650630001||||||||||||||||41.11199|-74.1332
5|Y|
6884356174002|||GP||Hayek|Craig||||2401 GODWIN BLVD #3||SUFFOLK|VA|23434|2401 Go
dwin Blvd|Ste 3|Suffolk|VA|234348178|7579239660|7579239665|||2013-11-14T23:56:03
10_6|1720053358|1720053358002||||||||||||||||36.76308|-76.58711|Y|AM
6887292582001|||||Proto|Benjamin|R|MD||860 OMNI BLVD., SUITE 203||NEWPORT NEWS|V
A|23606|860 Omni Blvd|Ste 113|Newport News|VA|236064430|7573270657|7573270658|||
37|Y|AM
6888154831002|||GP||Gray|Pamela||||6161 KEMPSVILLE CIR||NORFOLK|VA|23502|6161 Ke
mpsville Cir||Norfolk|VA|235023932|7574665027|7574668110|||2013-11-14T23:54:34.0
_6|1548254030|1548254030002||||||||||||||||36.84968|-76.19229|Y|AM
6888637363001|||||Monaco|Domenic||MD||206 Route 303||Valley Cottage|NY|10989|206
Route 303||Valley Cottage|NY|109892019|8452685124|8452686387|||2013-11-14T23:06
||v10_6|1851499644|1851499644001||||||||||||||||41.12869|-73.94005|Y|AM
6890088605001|||||Vinick|Daniel||MD||134 Route 59||Suffern|NY|10901|134 Route 59
||Suffern|NY|109014917|8453575333|8453572347|||2013-11-14T23:13:56.0Z|2014-11-14
7|1447239397001||||||||||||||||41.11367|-74.12251|Y|AM
6890150322001|||||O'Riordan|Kenneth|I|MD|RPP GASTRO LS GI|1400 E. Golf Road|Suit
e 117|Des Plaines|IL|60016|1400 E Golf Rd|Ste 117|Des Plaines|IL|600161252|84729
60666|8472969666|||2013-11-12T00:16:52.0Z|2014-11-14T06:00:00.0Z|New~Refill|Resu
rrectionTest4x|2013-11-14T16:37:59.0Z|U|New|v10_6|1912075649|1912075649001||||||
||||||||||42.05455|-87.88951|Y|AM
6891690201001|||||Snyder|Robert|J|MD||250 NAT TURNER BLVD.||NEWPORT NEWS|VA|2360
6|250 Nat Turner Blvd S||Newport News|VA|236062899|7575961900|7575918560|||201311-14T22:42:50.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22
:42:50.0Z|N||v10_6|1891857629|1891857629001||||||||||||||||37.08584|-76.48734|Y|
AM
6891886114001|||||Cricchio|Frank||MD||971 Route 45|Suite 204|Pomona|NY|10970|971
Route 45|Ste 204|Pomona|NY|109703530|8453621998|8453623656|||2013-11-14T22:56:5
v10_6|1851307185|1851307185001||||||||||||||||41.16937|-74.03418|Y|AM
6893512676002|||OPH||PAVILACK|MARK||||3235 Academy Ave|Suite 200|Portsmouth|VA|2
3703|3235 Academy Ave|Ste 200|Portsmouth|VA|237033200|7574830400|7576860947|||20
T22:39:57.0Z|N||v10_6|1245238096|1245238096002||||||||||||||||36.86236|-76.39709
|Y|AM
6893906845001|DM6521458||||Medievil|Doctor|||Anchor Hospital|5454 Yorktowne Driv
e||Atlanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|7702528141|67852
24141|||2013-11-13T13:39:20.0Z|2013-11-14T13:51:45.0Z||GreenwayTest106|2013-11-1
4T13:51:45.0Z|D|New|v10_6|1871598417|1871598417001||||||||||||||||33.60634|-84.4
5192|Y|
6894036352003|||||POWERS|KENNETH||||311 North Street|Suite 202|White Plains|NY|1
0605|311 North St|Ste 202|White Plains|NY|106052232|9143581106|9143581109|||2013
3:08:15.0Z|N||v10_6|1427138080|1427138080003||||||||||||||||41.02527|-73.74411|Y
|
6895209065001|||FP||Hasenberg|Jill|Ann|DO|FAMILY HEALTH ASSOCIATES|2449 COUNTY H
IGHWAY I||CHIPPEWA FALLS|WI|54729|2449 County Highway I||Chippewa Falls|WI|54729
5406|7157239138|7157238633|||2013-09-16T15:19:04.0Z|2014-11-14T06:00:00.0Z|New|P
|||||44.95165|-91.36054|Y|AM
6895245812001|||||Steinberg|Jonathan||MD||1790 Broadway|Suite 800|New York|NY|10
019|1790 Broadway|Ste 800|New York|NY|100191412|2124327837|2124327836|||2013-1114T23:12:35.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:12

:35.0Z|N||v10_6|1194729822|1194729822001||||||||||||||||40.76691|-73.98162|Y|AM
6895320409003|||||Kuna|Christie||NP||9600 Patterson Avenue|Patterson Avenue Fami
ly Practice|Richmond|VA|23229|9600 Patterson Ave||Richmond|VA|232296053|80474162
ursTest|2013-11-14T23:19:59.0Z|U|New|v10_6|1801808506|1801808506003|||||||||||||
|||37.59654|-77.5917|Y|
6895762444001|||||Herrmann|Ronald||DDS||12A North Airmont Road||Suffern|NY|10901
|12A N Airmont Rd||Suffern|NY|109015152|8453570970|8453691578|||2013-11-14T23:01
||v10_6|1508876152|1508876152001||||||||||||||||41.11435|-74.11403|Y|
6896080325003|||CD||Zimmerman|John||MD||20 Prospect Avenue|Suite 701|Hackensack|
NJ|76011|20 Prospect Ave|Ste 701|Hackensack|NJ|076011963|2019962997|8453685599||
-14T23:15:05.0Z|U|New|v10_6|1528036217|1528036217003||||||||||||||||40.88392|-74
.05787|Y|AM
6896191239002|||R||HO|MICHAEL||||5544 greenwich rd|ste 200|Virginia Beach|VA|234
62|5544 Greenwich Rd|Ste 200|Virginia Beach|VA|234626563|7574660089|7574668017||
-14T22:33:28.0Z|N||v10_6|1306825708|1306825708002||||||||||||||||36.84352|-76.17
773|Y|AM
6896983601002|||OBG||Partridge|John|R|MD||7605 Forest Ave Ste 206|VA PHYS FOR WO
MEN|Richmond|VA|23229|7605 Forest Ave|Ste 206|Richmond|VA|232294936|8048972100|8
est|2013-11-14T22:23:59.0Z|U|New|v10_6|1497727267|1497727267002||||||||||||||||3
7.60393|-77.54165|Y|AM
6899471331001|||||Reiber|Stuart||MD||257 Lafayette Avenue|Suite 275|Suffern|NY|1
3:09:00.0Z|N||v10_6|1912194069|1912194069001||||||||||||||||41.11222|-74.13531|Y
|AM
6900924369001|||||Fond|Jason||MD||408 Airport Executive Pk|Advanced Orthopedics
and Sports Med|Nanuet|NY|10954|408 Airport Executive Park||Nanuet|NY|109545288|8
454250555|8454266126|||2013-11-12T20:27:20.0Z|2014-11-14T05:00:00.0Z|New~Refill|
||||||||||41.10864|-74.02709|Y|AM
6900951966001|||US||Awdish|Rana||MD||39450 West 12 Mile Road||Novi|MI|48377|3945
0_6|1881896645|1881896645001||||||||||||||||42.49805|-83.43774|Y|AM
6901068604002|||FP||JOHNSON|SHONNA||||191 D FOXHILL RD||HAMPTON|VA|23669|191 Fox
Hill Rd|Ste D|Hampton|VA|236692360|7578501311|7578507315|||2013-11-14T23:58:32.
0_6|1679776728|1679776728002||||||||||||||||37.05642|-76.3296|Y|AM
6901102106028|JM1232141||FP|Dr.|Surescripts|Tony||MD|Surescripts Testing Clinic|
716 Main Street||Waltham|MA|02451|716 Main St||Waltham|MA|024510632|8888476814|8
888476815|||2013-07-02T19:33:43.0Z|2014-10-02T19:34:30.0Z|New~Refill~ControlledS
ubstance|RefillManagerEPCS|2013-11-14T18:47:16.0Z|U|New~ControlledSubstance|v10_
6|1234567893|1234567893028||||||||||||||||42.3759|-71.23873|Y|AM
6901665599001|||N||Krstevska|Shana||MD||2799 W. Grand Blvd.||Detroit|MI|48202|27
w|v10_6|1750456497|1750456497001||||||||||||||||42.36731|-83.08504|Y|AM
6901991169002|||||ARONWALD|MICHAEL||||222 ROUTE 59||Suffern|NY|10901|222 Route 5
9||Suffern|NY|109015204|8453573838|8453576413|||2013-11-14T22:53:58.0Z|2014-11-1
88|1477533388002||||||||||||||||41.11288|-74.11188|Y|
6902158909001|||||Polifrone|Annarose||MD||180 East Central Avenue||Pearl River|N
Y|10965|180 E Central Ave||Pearl River|NY|109652537|8457350800|8457350837|||2013
3:07:55.0Z|N||v10_6|1245348853|1245348853001||||||||||||||||41.05943|-74.01415|Y
|
6902919235002|||N||Cao|Catherine|Xianghui|||968 First Colonial Road|Virginia Bea
ch Neurology, Suite 103|Virginia Beach|VA|23454|968 First Colonial Rd||Virginia
Beach|VA|234543171|7574813808|7574812498|||2013-11-12T20:34:44.0Z|2014-11-14T05:
00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:45:05.0Z|U|New|v10_6|1922170323
|1922170323002||||||||||||||||36.85907|-76.02569|Y|AM
6903402694001|||||Vinogradov|Mikhail||||50 HOSPITAL DRIVE|SUITE 4B|HENDERSONVILL
E|NC|28792|50 Hospital Dr|Ste 4B|Hendersonville|NC|287925246|8286812917|82868128
3-11-14T23:36:24.0Z|N||v10_6|1073518452|1073518452001||||||||||||||||35.38937|-8
2.48731|Y|AM
6903904491001|||||test last|test first|||sf|sd df||sdfs|CA|25485|SD Df||Sdfs|CA|
25485|6195875478|6195484245|||2013-11-14T07:25:27.0Z|2013-11-14T07:29:37.0Z||Med
icalOfficeSolutions10.6|2013-11-14T07:29:37.0Z|D|New~Change~Cancel~MedHistory~CI
Message~CIEvent|v10_6mu2|2548784587|2548784587001|Doctor|||||||||||testfirst@ada
ptamed.direct-ci-cert.com|||24439||||NU
6904084541001|||||Subik|Michael||DPM||96 Townline Road||Pearl River|NY|10965|96
Townline Rd||Pearl River|NY|109651234|2019399098|2019395614|||2013-11-14T23:12:5
v10_6|1003813551|1003813551001||||||||||||||||41.07707|-74.01026|Y|
6904317240001|||||Joseph|Allen||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201
_6|1275707325|1275707325001||||||||||||||||32.81096|-96.83699|Y|
6906735868001|BS6302575|216161|CTS||Lastnamethatisreallylonghaveireache|Firstrea
llylongnamehahaha|M|MDFACSDDDD|Maximumservicelocationnamegoeshereh|555 Really Re
ally Long Street Name|Suite555555555555555555555555555555|Indianapolis|IN|46202|
555 Really Really Long Street Name||Indianapolis|IN|46202|3175558888x888888|3173
958965|testtestingreallylongemailaddressssssssss@test.com||2013-06-17T17:47:47.0
Z|2063-06-17T17:47:50.0Z|New~Refill|MOSTTest106|2013-11-14T23:00:03.0Z|U|New~Ref
ill|v10_6mu2|1609948884|1609948884001|Doctor|||||||123-45-6789||||||||39.782|-86
.16032|N|AM
6906996833001|HM5145141||||mad|hatter|||Anchor Hospital|5454 Yorktowne Drive||At
lanta|GA|303491111|5454 Yorktowne Dr||Atlanta|GA|303495317|7705551616|7705551617
|||2013-11-14T18:06:43.0Z|2099-12-31T12:00:00.0Z|New~Refill|GreenwayTest106|2013
-11-14T18:06:43.0Z|N||v10_6|1234567893|1234567893001||||||||||||||||33.60634|-84
.45192|Y|
6908275079001|||||Kane|Neal||MD||180 Phillips Hill Road||New City|NY|10956|180 P
hillips Hill Rd||New City|NY|109564132|8457080886|8456341682|||2013-11-14T23:02:
|v10_6|1316912520|1316912520001||||||||||||||||41.1653|-74.00389|Y|AM
6908375861001|||||Whitnum|Christopher|C|CRNA||8260 Atlee Road||Mechanicsville|VA
|23116|8260 Atlee Rd||Mechanicsville|VA|231161844|8042886259|8042829921|||2013-1
31:29.0Z|N||v10_6|1124346952|1124346952001||||||||||||||||37.62877|-77.38642|Y|
6909139456001|||||Pizon|Eric|||JP Test Practice|Main Street 1|Main street 2|Hunt
svilley|AL|358014568|Main Street 1||Huntsville|AL|35801|6107777777|7106987456|sd
f@lks.com||2013-11-14T15:47:33.0Z|2099-12-31T00:00:00.0Z|New~Refill|AllScripts10
6|2013-11-14T15:47:33.0Z|N||v10_6mu2|1497197800|1497197800001||||||||159-64-2634
||||||||34.72728|-86.57079|N|
6909139456002|||||Pizon|Eric|||AMBDEV62|8259 Six Forks Rd||Raleigh|NC|276150000|
8259 Six Forks Rd||Raleigh|NC|276152957|9191236547|9197456321|sdf@lks.com||201311-14T15:53:46.0Z|2099-12-31T00:00:00.0Z|New~Refill|AllScripts106|2013-11-14T15:
53:46.0Z|N||v10_6mu2|1497197800|1497197800002||||||||159-64-2634||||||||35.89078
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6909533336001|||||Phillips|Ben||MD||2384 Colony Crossing Place|VA Endocrinology
Osteoporosis|Midlothian|VA|23114|2384 Colony Crossing Pl||Midlothian|VA|231124
280|8044233636|8044233637|||2013-11-12T20:06:13.0Z|2014-11-14T05:00:00.0Z|New~Re
|||||||||||||||37.4584|-77.65589|Y|AM
6909651542001|||||Kleinman|Richard||DPM||180 Phillips Hill Road||New City|NY|109
56|180 Phillips Hill Rd||New City|NY|109564132|8456344791|9738953952|||2013-11-1
55.0Z|N||v10_6|1033126776|1033126776001||||||||||||||||41.1653|-74.00389|Y|
6911506122002|||||Dgheim|Hanna||||55 Old Nyack Turnpike|Suite 505|Nanuet|NY|1095
4|55 Old Nyack Tpke|Ste 301|Nanuet|NY|109542400|8456240626|8456230855|||2013-1114T22:57:16.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:57
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6912064881001|jh4444222||||Hilts|Johnney|Dean||Anchor Hospital|5454 Yorktowne Dr
06|2013-11-14T21:00:54.0Z|N||v10_6|1234567778|1234567778001||||||14584 UPINID|||
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6912250225001|DEA885522||||Reynolds9999e|Clayton99999999999999|L9999999999999999
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Cleveland9999999999999999999999|OH|40016|243 Test STREET99999999999999999999||Cl
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T20:09:42.0Z|2099-10-29T22:33:38.0Z|New~Refill|Infor-MedTest4.2|2013-11-14T22:09
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6913927326001|||||Dorf|David||MD||171 Ramapo Road||Garnerville|NY|10923|171 Rama
po Rd||Garnerville|NY|109231552|8459471422|8459425705|||2013-11-14T22:57:32.0Z|2
1124034152|1124034152001||||||||||||||||41.20087|-73.98957|Y|AM
6914430809001|||IM||Loomans|Henry|J|MD|CMH PRIMARY CARE CLINIC|835 S MAIN STREET
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|9208462073|||2013-08-25T14:08:50.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTes
t|2013-11-14T20:13:36.0Z|U|New|v10_6|1174630628|1174630628001||||||||||||||||44.
86712|-88.12916|Y|AM
6914434860001|DD6251481||||Crack|Doctor|||Anchor Hospital|5454 Yorktowne Drive||
13-11-14T20:12:55.0Z|N||v10_6|1234567893|1234567893001||||||||||||||||33.60634|84.45192|Y|
6914715563001|||||Shinder|Neil||MD||55 Old Nyack Turnpike|Suite 503|Nanuet|NY|10
954|55 Old Nyack Tpke|Ste 301|Nanuet|NY|109542400|8456239400|8456239402|||2013-1
11:28.0Z|N||v10_6|1245258243|1245258243001||||||||||||||||41.10032|-74.02894|Y|A
M
6915563855001|CN7894123||||Norris|Chuck|||Anchor Hospital|5454 Yorktowne Drive||
13-11-14T20:45:40.0Z|N||v10_6|1023145786|1023145786001||||||||||||||||33.60634|84.45192|Y|
535656001|||||||||||||||||||
6915976693001||STATELICENSE1234567890123|AS|SUFFIXABCD|LASTNAMEABCDEFGHIJKLMNOPQ
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9723450967x1234^TE~9723450967^FX~9723450967x1234^WP~9723450967x1234^BN|2013-08-3
1T23:40:52.0Z|2099-12-30T18:00:00.0Z|New|iMedicaTest106|2013-11-14T23:46:56.0Z|U
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12345678901234567890123456|12345678901234567890123456789012|PRIORAUTHORIZATIONNU
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6916729802001|||||Carlson|Jeffrey|R|MD||250 NAT TURNER BLVD||NEWPORT NEWS|VA|236
06|250 Nat Turner Blvd S||Newport News|VA|236062899|7575961900|7575918560|||2013
2:28:38.0Z|N||v10_6|1518029347|1518029347001||||||||||||||||37.08584|-76.48734|Y
|AM
6916815205001|||HO||Janakiraman|Nalini||MD||2799 West Grand Blvd.||Detroit|MI|48
Z|U|New|v10_6|1730257270|1730257270001||||||||||||||||42.36731|-83.08504|Y|AM
6917750104001|||HO||Guo|Yue||MD||19401 Hubbard Drive||Dearborn|MI|48126|19401 Hu
bbard Dr||Dearborn|MI|481262641|3139828282|3139828230|||2013-07-27T06:51:57.0Z|2
6|1841368388|1841368388001||||||||||||||||42.31962|-83.22818|Y|AM
405274001|||||||||||||||||||
6918846257002|||OBG||Casanova|Lisa||||401 OYSTER PT RD #A||NEWPORT NEWS|VA|23606
|401 Oyster Point Rd|Ste A|Newport News|VA|236026926|7572493000|7572694424|||201
23:45:28.0Z|N||v10_6|1154385706|1154385706002||||||||||||||||37.10612|-76.50814|
Y|AM
6919903693002|||FP||Risser|Andreya|B|MD||11601 Ironbridge Road|, Ste 117|Chester
|VA|23831|11601 Iron Bridge Rd||Chester|VA|238311466|8047175300|8047487269|||201
23:17:26.0Z|U|New|v10_6|1154587186|1154587186002||||||||||||||||37.35591|-77.495
03|Y|AM
6921621762002|||FP||Bakhshi|Elizabeth||||1821 Old Donation Parkway||Virginia Bea
ch|VA|23454|1821 Old Donation Pkwy||Virginia Beach|VA|234543033|7574813350|75749
2013-11-14T23:41:02.0Z|N||v10_6|1205801719|1205801719002||||||||||||||||36.86472
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is|2013-11-14T06:50:41.0Z|D|New|v10_6|1922063558|1922063558001||||||||||||||||29
.47159|-98.60189|Y|
6922944551001|||||Rosenthal|Andrew||MD||255 Lafayette Avenue|Good Samaritan Hosp
13-11-14T23:09:40.0Z|U|New|v10_6|1811966914|1811966914001||||||||||||||||41.1119
9|-74.13325|Y|AM
6923094422001|||||Grewal|Perminder||MD||12 Liberty Square||Stony Point|NY|10980|
12 Liberty Square Mall||Stony Point|NY|109802400|8459421001|8459421431|||2013-11
0:18.0Z|N||v10_6|1053381715|1053381715001||||||||||||||||41.22189|-73.98538|Y|AM
6924127866001|||||Resnick|Michael||MD||327 Route 59|Suite 2|Airmont|NY|10952|327
Route 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T23:09:08
10_6|1386636058|1386636058001||||||||||||||||41.11002|-74.09595|Y|AM
6924402194001|||GS||Dougherty|David|J|MD||8262 Atlee Road|MOB 3, Suite 205|Mecha
nicsville|VA|23116|8262 Atlee Rd||Mechanicsville|VA|231161816|8045590194|8045590
13-11-14T22:20:18.0Z|U|New~Refill|v10_6|1760494892|1760494892001||||||||||||||||
37.62758|-77.38861|Y|AM
6926553549001|AK5066320||||Rao|Naidu|||CA|123 Main St.ss|Ste 104gdsfd hghg|Chica
go|CA|60115|123 Main St|Ste 104GDSFD|Chico|CA|959285433|3125555555|3125554444|sa
rat.muppaneni@allscripts.com||2013-05-13T13:12:08.0Z|2099-12-31T00:00:00.0Z|New~
Refill~ControlledSubstance|AllScripts81e|2013-11-14T06:36:05.0Z|U|New~Refill~Con
trolledSubstance|v8_1e|1548255474|1548255474001||||||||||||||||39.73057|-121.840
57|Y|
6926553549002|AK5066320||||Rao|Naidu|||CA|123 Main St.ss|Ste 104gdsfd hghg|Chica
go|CA|60115|123 Main St|Ste 104GDSFD|Chico|CA|959285433|3125555555|3125554444|sa
rat.muppaneni@allscripts.com||2013-05-13T13:12:11.0Z|2099-12-31T00:00:00.0Z|MedH
istory~Eligibility|Allscripts4.0Test|2013-11-14T06:32:33.0Z|U|MedHistory~Eligibi
lity|v4_0|1548255474|1548255474002||||||||||||||||39.73057|-121.84057|Y|
6927044886001|||||Cuttino|Laurie||MD||Box 980058||Richmond|VA|23298|PO Box 98005
8||Richmond|VA|232980058|8048287232|8048286042|||2013-11-14T22:20:35.0Z|2014-1114T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:20:35.0Z|N||v10_6|1780614
651|1780614651001||||||||||||||||37.54283|-77.4305|N|AM
:20:52.0Z|2014-02-14T05:20:54.0Z|New|AmericanChoice|2013-11-14T05:20:54.0Z|N|New
|v10_6|9920543230|9920543230001|||||||||||||||||||
6927310469002|||IM||Castaldo|David||||885 Kempsville Rd||NORFOLK|VA|23502|885 Ke
mpsville Rd||Norfolk|VA|235023800|7579552828|7579552829|||2013-11-14T23:45:35.0Z
6|1912970955|1912970955002||||||||||||||||36.85311|-76.194|Y|AM
6927630114001|||||Wood|James|Hunter|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1447472196|1447472196001||||||||||||||||32.81096|-96.83699|Y|
6927851868001|||EM||Zaiter|Pedro|J|MD||13700 St. Francis Blvd, ED|Professional E
mergency Care|Midlothian|VA|23114|13700 St Francis Blvd|# Ed|Midlothian|VA|23114
3222|8045947950|8045947955|||2012-03-07T00:44:29.0Z|2014-11-14T05:00:00.0Z|New~R
efill|BonSecoursTest|2013-11-14T22:21:59.0Z|U|New~Refill|v10_6|1215918404|121591
8404001||||||||||||||||37.46622|-77.65855|Y|AM
6927959299001|||||Deitch|Sandra||||16 PARK AVENUE|MONSEY FAMILY HEALTH CENTER|Mo
nsey|NY|10952|16 Park Ave||Airmont|NY|109524507|8453563545|8453563445|||2013-1112T20:32:15.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:24
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387563001|||||||||||||||||||
|||||||||40.57671|-111.86159|N|
6929225251001|||||Seligman|Karen||MD||New York Medical College||Valhalla|NY|1059
5|New York Medical College||Valhalla|NY|10595|9145944370|9145944513|||2013-11-14
5.0Z|N||v10_6|1629079694|1629079694001||||||||||||||||41.08549|-73.78178|N|AM
|||||||||40.57671|-111.86159|N|
t|2013-11-14T19:45:45.0Z|N||v10_6|4655129573|4655129573002|PA|||||||||||||||40.5
7671|-111.86159|N|
6930745255001|||FP||Haacke-Golden|Eric||MD||2367 Colony Crossing Place|Virginia
Family Practice Physicians|Midlothian|VA|23112|2367 Colony Crossing Pl||Midlothi
an|VA|231124280|8043231264|8043231276|||2012-03-08T19:13:20.0Z|2014-11-14T05:00:
00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:18:27.0Z|U|New~Refill|v10_6|101390
4515|1013904515001||||||||||||||||37.45872|-77.65558|Y|AM
6931129600001|||||Petrella|Michael||MD||255 Lafayette Ave|Good Samaritan Hospita
6932350088001|||||McNamara|Jennifer||NP||Good Samaritan Hospital|Cardiac Cath La
b|Suffern|NY|10901|Good Samaritan Hospital||Suffern|NY|10901|8453685212|84536856
3-11-14T23:25:15.0Z|N||v10_6|1649366626|1649366626001||||||||||||||||41.12422|-7
4.10845|N|
6932427274002|||DR||Nguyen|Chan||||5544 GREENWICH DR.|#200|VIRGINIA BEACH|VA|234
62|5544 Greenwich Rd|Ste 200|Virginia Beach|VA|234626563|7574660089|7574668017||
-14T22:39:11.0Z|N||v10_6|1871577403|1871577403002||||||||||||||||36.84352|-76.17
773|Y|AM
6932674883002|||||Whitfield|Katherine|Arlene|RN||5201 HARRY HINES BLVD||DALLAS|T
X|75235|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||201306-13T15:17:06.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T12:09:47
.0Z|U|New|v10_6|1104961481|1104961481002||||||||||||||||32.81096|-96.83699|Y|
6932915583001|||||Dickinson|Peter|C Taylor|MD||2 Crosfield Avenue|Suite 102|West
Nyack|NY|10994|2 Crosfield Ave|Ste 102|West Nyack|NY|109942233|8453581344|84535
2013-11-14T22:57:22.0Z|N||v10_6|1225037187|1225037187001||||||||||||||||41.09306
|-73.97705|Y|AM
6933565437001|||PD||Ahmed|Nowsheen||MD||5955 Harbour Park Drive|Chesterfield Ped
iatrics|Midlothian|VA|23112|5955 Harbour Park Dr||Midlothian|VA|231122163|804744
coursTest|2013-11-14T22:19:27.0Z|U|New~Refill|v10_6|1508894700|1508894700001||||
||||||||||||37.41372|-77.64719|Y|AM
6933660048001|||||Hood|Richard|J|MD||901 Hampton Blvd||Norfolk|VA|23507|901 Hamp
ton Blvd||Norfolk|VA|235071503|7576230526|7576276471|||2013-11-12T20:14:14.0Z|20
6|1598766792|1598766792001||||||||||||||||36.86476|-76.30236|Y|AM
6934032660001|||||Garcia Gonzalez|Maria|Lourdes|MD||600 GRESHAM DR||NORFOLK|VA|2
3507|600 Gresham Dr||Norfolk|VA|235071904|7574617974|7574614829|||2013-11-14T22:
|N||v10_6|1740493055|1740493055001||||||||||||||||36.86266|-76.30352|Y|AM
6934404172001|||||Deckard|Nathan|A.|MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5
|v10_6|1558568857|1558568857001||||||||||||||||32.81096|-96.83699|Y|
6934985370001|||||Deutsch|Brian|D|MD||901 Hampton Blvd||Norfolk|VA|23507|901 Ham
pton Blvd||Norfolk|VA|235071503|7576230526|7576276471|||2013-11-12T20:12:15.0Z|2
014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T22:30:31.0Z|U|New|v10
_6|1881695252|1881695252001||||||||||||||||36.86476|-76.30236|Y|AM
6935175714001|||||Fabian-Gottlieb|Arlene||||1431 CENTERPOINT BLV||KNOXVILLE|TN|3
7932|1431 Centerpoint Blvd||Knoxville|TN|379321984|8882031274|8652913228|||201311-14T23:51:21.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23
:51:22.0Z|N||v10_6|1447311048|1447311048001||||||||||||||||35.93657|-84.14881|Y|
AM
6935247091002|||RO||Harrison|Kenneth||||6330 N CTR DR BLDG 1||NORFOLK|VA|23507|6
330 N Center Dr|Bldg 1|Norfolk|VA|235024008|7574660089|7574614784|||2013-11-14T2
0Z|N||v10_6|1649311754|1649311754002||||||||||||||||36.8485|-76.18837|Y|AM
6935688468001|||||Lefkowitz|Louis||MD||134 Route 59||Suffern|NY|10901|134 Route
149|1871572149001||||||||||||||||41.11367|-74.12251|Y|AM
6935780018001|||||Mouzakitis|Paul||MD||255 Lafayette Avenue|Good Samaritan Hospi

3-11-14T23:06:40.0Z|U|New|v10_6|1407894256|1407894256001||||||||||||||||41.11199
|-74.13325|Y|AM
6937691494001|||||Grossman|Julia||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|520
10_6|1285917195|1285917195001||||||||||||||||32.81096|-96.83699|Y|
6938679688001|||IM||Russell-Little|Karen||MD||39450 W. 12 Mile Rd||Novi|MI|48377
|39450 W 12 Mile Rd||Novi|MI|483773600|2483440710|2483440720|||2012-10-11T18:14:
ew|v10_6|1841368370|1841368370001||||||||||||||||42.49805|-83.43774|Y|AM
6938741132003|AB7211117||||COTE|TOM|||Mike's 11.2 Test Org|PAIN MGMT W/ EMPHASIS
IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5137707700|||2013-0
4-09T10:46:58.0Z|2096-11-14T17:05:50.0Z|New~Refill~MedHistory|MedPlusQA4|2013-11
-14T17:04:02.0Z|U|New~Refill~MedHistory|v4_20|6037469775|6037469775003||||||||||
|||||||||
6941537659001|AK5658464||||PaulaDeluxeOnEPCSOFF|Provider|||Paula Deluxe On EPCS
OFF|123 Main Street|Ste 104|Hollywood|CA|60115|123 Main Street||Hollywood|CA|601
15|3125555555|3125554444|TestProv@Util.com||2013-09-11T13:44:40.0Z|2099-12-31T00
:00:00.0Z|New~Refill|PSAllScriptsTest_4x|2013-11-14T18:44:02.0Z|U|New|v4_20|1447
240551|1447240551001||||||||||||||||41.93212|-88.7533|N|
6941537659002|AK5658464||||PaulaDeluxeOnEPCSOFF|Provider|||Paula Deluxe On EPCS
OFF|123 Main Street|Ste 104|Hollywood|CA|60115|123 Main Street||Hollywood|CA|601
15|3125555555|3125554444|TestProv@Util.com||2013-09-11T13:44:41.0Z|2099-12-31T00
:00:00.0Z|MedHistory~Eligibility|Allscripts4.0Test|2013-11-14T18:44:04.0Z|U|MedH
istory~Eligibility|v4_0|1447240551|1447240551002||||||||||||||||41.93212|-88.753
3|N|
6943650641001|||HO||Ali|Haythem||MD||19675 Allen Road||Brownstown|MI|48183|19675
Allen Rd||Brownstown Twp|MI|481831021|7344793311|7344798009|||2013-07-27T05:27:
ew|v10_6|1174691695|1174691695001||||||||||||||||42.16265|-83.22652|Y|AM
6945562390001|||NEP||Novak|James||MD PHD||2799 West Grand Blvd.||DETROIT|MI|4820
2|2799 W Grand Blvd||Detroit|MI|482022608|3139162707|3139165316|||2012-10-11T18:
15:17.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:45:40.0Z|
U|New|v10_6|1689744351|1689744351001||||||||||||||||42.36731|-83.08504|Y|AM
6945848120001|||||Piluso|Laura||DPM||505 Route 208|Suite 16|Monroe|NY|10950|505
State Route 208|Ste 16|Monroe|NY|109501607|8457820025|8457820032|||2013-11-14T23
Z|N||v10_6|1790843902|1790843902001||||||||||||||||41.34746|-74.19061|Y|
6946609206001|||N||Elias|Stanton||MD||2799 West Grand Blvd.||DETROIT|MI|48202|27
w|v10_6|1932274677|1932274677001||||||||||||||||42.36731|-83.08504|Y|AM
6947099043001|||||Umphlet|Robin|S|CRNA||5801 Bremo Road||Richmnod|VA|23226|5801
Bremo Rd||Richmond|VA|232261907|8045942622|8045940915|||2013-11-14T23:33:32.0Z|2
1396042909|1396042909001||||||||||||||||37.5843|-77.51269|Y|AM
6947709591001|||US||Singh|Meeta||MD||6777 West Maple Road||West Bloomfield|MI|48
4:33.0Z|U|New|v10_6|1760599484|1760599484001||||||||||||||||42.53865|-83.40706|Y
|AM
6948559441001|||||Kingsbury|Ellen||MD||101 Harris Rd|CMG Float|Kilmarnock|VA|224
82|101 Harris Rd||Kilmarnock|VA|224823880|8044358570|8044358037|||2013-11-14T23:
|N||v10_6|1265452171|1265452171001||||||||||||||||37.70147|-76.38655|Y|AM
6948827277001|||||Bailey|Jonathan|Q|MD||Greenville OB/GYN Associates|2 Memorial
Medical Drive|Greenville|SC|29605|2 Memorial Medical Dr||Greenville|SC|296054450
|8642954210|8642951473|||2013-11-14T23:37:34.0Z|2014-11-14T05:00:00.0Z|New~Refil
l|BonSecoursTest|2013-11-14T23:37:35.0Z|N||v10_6|1487697504|1487697504001|||||||
|||||||||34.81687|-82.42139|Y|AM
6949234663001|||||Sonett|Joshua||MD||5A Medical Park Drive||Pomona|NY|10970|5A M
edical Park Dr||Pomona|NY|109703516|8453620075|8453621716|||2013-11-14T23:12:18.
0_6|1295732824|1295732824001||||||||||||||||41.16659|-74.03187|Y|AM
6951034225002|||||Weinberg|Brent|Derek|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1669602991|1669602991002||||||||||||||||32.81096|-96.83699|Y|
6951388332001|||||Bernstein|Robert|C|MD||205 Business Park Dr., Ste. 200||Virgin
ia Beach|VA|23462|205 Business Park Dr|Ste 200|Virginia Beach|VA|234626335|75726
||||||36.84436|-76.1767|Y|AM
6951632606001|||||Provider|iSalus|Ten||iSALUS Healthcare|212 W 10 St||Indianapol
is|IN|46202|212 W 10th St|Ste B120|Indianapolis|IN|462025404|3176878119|31753639
78|||2013-08-22T19:05:32.0Z|2063-08-29T19:55:38.0Z|New~Refill|MOSTTest106|2013-1
1-14T23:00:10.0Z|U|New|v10_6mu2|7789898912|7789898912001|Doctor|||||||317-32-333
3||||||||39.78113|-86.16198|Y|
6952396169001|||||Berman|Marc||DPM||175 Route 304||Bardonia|NY|10954|175 Route 3
04||Bardonia|NY|109542042|8453574433|8453570518|||2013-11-14T22:55:01.0Z|2014-11
3340|1356563340001||||||||||||||||41.10442|-73.99756|Y|
6954286608002|||US||FERENCEI|MILAN||||155 Crystal Run Road||Middletown|NY|10941|
155 Crystal Run Rd||Middletown|NY|109414028|8457965507|8457036280|||2013-11-14T2
0Z|N||v10_6|1801888417|1801888417002||||||||||||||||41.45197|-74.3568|Y|AM
6955085959001|||OBG||Harris|Danielle|T|MD||Greer OB/GYN|325 medical parkway, sui
te 100|Greer|SC|29650|325 Medical Pkwy|Ste 100|Greer|SC|296502458|8647979200|864
t|2013-11-14T22:17:08.0Z|U|New~Refill|v10_6|1043421159|1043421159001||||||||||||
||||34.92002|-82.2435|Y|AM
6955714178001|||IM||Lastimosa|Chona||MD||39450 W. 12 Mile Rd||Novi|MI|48377|3945
0_6|1124298047|1124298047001||||||||||||||||42.49805|-83.43774|Y|AM
6956909579002|||FP||Vicario|Dean|A M|NP||North Hills Medical Center|3904 Highway
14|Greenville|SC|29601|3904 S Highway 14||Greenville|SC|296156138|8649879990|86
st|2013-11-14T23:20:34.0Z|U|New|v10_6|1871621748|1871621748002||||||||||||||||34
.83118|-82.25436|Y|AM
6957061008001|||N||Biondo|Andrew||DO||2825 Livernois||TROY|MI|48083|2825 Liverno
is Rd||Troy|MI|480831214|2486806086|2485282299|||2012-10-11T18:12:42.0Z|2014-1114T05:00:00.0Z|New~Refill|HenryFordTest|2013-11-14T19:42:01.0Z|U|New|v10_6|17605
57409|1760557409001||||||||||||||||42.56009|-83.14866|Y|AM
6957483046002|||||Brown|Sabrina||ACNP||2001 WINCHESTER AVE|STE 1|ASHLAND|KY|4110
5|2001 Winchester Ave|Ste 1|Ashland|KY|411017743|6063247351|6063247359|||2013-10
1:28.0Z|U|New|v10_6|1750511788|1750511788002||||||||||||||||38.47637|-82.63426|Y
|
6957554747002|||ORS||BLASDELL|STEVEN||||5838 Harbour View Blvd|Suite 100, Health
Center at Harbour|Suffolk|VA|23435|5838 Harbour View Blvd||Suffolk|VA|234352663
|7573970783|7574833075|||2013-11-14T22:27:44.0Z|2014-11-14T05:00:00.0Z|New|BonSe
coursTest|2013-11-14T22:27:44.0Z|N||v10_6|1114929361|1114929361002||||||||||||||
||36.8718|-76.44114|Y|AM
is|2013-11-14T06:53:47.0Z|D|New|v10_6|1922063549|1922063549001||||||||||||||||29
.47159|-98.60189|Y|
6959201727002|||||Gerard|Jody||MD||13700 St. Francis Blvd.|Professional Emergenc
y Care|Midlothian|VA|23114|13700 St Francis Blvd||Midlothian|VA|231143222|804594
|||||37.46622|-77.65855|Y|AM
6959621676001|||||Patel|Ankur|Ramanlal|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523
New|v10_6|1366718819|1366718819001||||||||||||||||32.81096|-96.83699|Y|
6960563842002|||||HOROWITZ|JEFFREY||||11 Medical Park Drive|Suite 206|Pomona|NY|
23:01:33.0Z|N||v10_6|1457355000|1457355000002||||||||||||||||41.16691|-74.03359|
Y|
6961096982001|||||MAXPRESCRIBERWITHVER|MAXWITHVERYLONG|||VeryLongNameClinicForVe
ryLongNamePr|!"#$%'()*+,-/:;=?@[\]\S\_`{\F\}\R\0000& >|!"#$%'()*+,-/:;=?@[\]\S\_
`{\F\}\R\0000& >|!"#$%'()*+,-/:;=?@[\|CO|803615977|!"#$%'()*+,-/:;=?@[\]\S\_`{\F
\}\R\0000& >||!"#$%'()*+,-/:;=?@[\|CO|80361|7034445527|7034445228|||2013-11-14T2
1:33:01.0Z|2099-12-31T00:00:00.0Z|New~Refill|SSIMED|2013-11-14T21:33:01.0Z|N||v1
0_6mu2|1111111112|1111111112001|||||||||||||||||||
|||||||||40.57671|-111.86159|N|
6962466291001|||||Whiddon|Rebecca|Elaine|MD||5201 HARRY HINES BLVD||DALLAS|TX|75
U|New|v10_6|1538353594|1538353594001||||||||||||||||32.81096|-96.83699|Y|
6962548411001|||||Hartke|David|M|MD||860 OMNI BLVD.|Ste 107|NEWPORT NEWS|VA|2360
6|860 Omni Blvd|Ste 107|Newport News|VA|236064430|7578732562|7578732570|||2013-1
33:00.0Z|N||v10_6|1972706356|1972706356001||||||||||||||||37.08846|-76.46537|Y|A
M
327679001|||||||||||||||||||
327679002|||||||||||||||||||
6964893781001|||||Neyra Lozano|Javier|Alberto|MD||5201 HARRY HINES BLVD||DALLAS|
TX|75235|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013
-06-13T14:46:43.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T12:12:1
1.0Z|U|New|v10_6|1487883401|1487883401001||||||||||||||||32.81096|-96.83699|Y|
6965402673001|||||Garchitorena|James||PA||Good Samaritan Hospital|Suite 103|Pomo
na|NY|10970|Good Samaritan Hospital||Pomona|NY|10970|8453685029|8453621600|||201
23:24:22.0Z|N||v10_6|1417258872|1417258872001||||||||||||||||41.1845|-74.04433|N
|
6967235212001|||||Bough|I|David|MD||1 Crosfield Avenue|Suite 201|West Nyack|NY|1
22:55:45.0Z|N||v10_6|1598710899|1598710899001||||||||||||||||41.0925|-73.97863|Y
|AM
6967392955001|||||Charles|Margarett|||Ortho Clinic|Mandela Lane||San Diego|CA|25
842|Mandela Lane||San Diego|CA|25842|6194875475|6198745487|||2013-11-14T05:24:28
.0Z|2013-11-14T07:43:16.0Z||MedicalOfficeSolutions10.6|2013-11-14T07:43:16.0Z|D|
New~Change~CIMessage~CIEvent|v10_6mu2|1587542253|1587542253001|Doctor|||||||||||
charles@adaptamed.direct-ci-cert.com|||24423||||NU
6969621732001|AK5765651||||aQAproviderAustin|Paula|||Site name QA site test for
long nam|1 Main Street In A Long Street Name||Raleigh|NC|27614|1 Main Street in
A Long Street Name||Raleigh|NC|27614|9193291456|9193291234|paula.austin@allscrip
ts.com||2013-11-14T14:59:50.0Z|2099-12-31T00:00:00.0Z|New~Refill|PSAllScriptsTes
t_4x|2013-11-14T14:59:50.0Z|N||v4_20|1144415324|1144415324001||||||||||||||||35.
93819|-78.59636|N|
6969621732002|AK5765651||||aQAproviderAustin|Paula|||Site name QA site test for
long nam|1 Main Street In A Long Street Name||Raleigh|NC|27614|1 Main Street in
A Long Street Name||Raleigh|NC|27614|9193291456|9193291234|paula.austin@allscrip
ts.com||2013-11-14T14:59:52.0Z|2099-12-31T00:00:00.0Z|MedHistory~Eligibility|All
scripts4.0Test|2013-11-14T14:59:52.0Z|N||v4_0|1144415324|1144415324002||||||||||
||||||35.93819|-78.59636|N|
6970454784001|FE9498470||||PROVIDER|PROVIDER|||LMTA EPRE Healthcare One|1 MASON|
|SCHENECTADY|NY|12345|1 Mason||Schenectady|NY|123450001|5132048933|5132048934|||
2013-10-21T13:30:44.0Z|2096-11-14T12:11:52.0Z|New~MedHistory~Eligibility|MedPlus
Test2|2013-11-14T12:11:48.0Z|U|New~MedHistory~Eligibility|v10_6mu2|3134828193|31
34828193001||||||||||||||||42.81005|-73.95105|N|
6970905942001||ST987|CD||Test Application User|Doctor 1|Testing||Davita001|Addre
ss 1||CA|CA|56894|Address 1||Cadiz|CA|56894|8529637410|8529637410|||2012-11-23T1
3:38:28.0Z|2013-12-16T06:32:31.0Z|New~Refill~Change~Cancel|DavitaDialysis|2013-1
1-14T14:38:50.0Z|U|New~Change~Cancel|v10_6|1922063338|1922063338001|||MD852|MC12
34||UP852|PPO123||||||||||||AM
6971844116001|||||Colton|Martin|Jay|DDS||200 East Eckerson Road||New City|NY|109
56|200 E Eckerson Rd||New City|NY|109567153|8453520520|8453520566|||2013-11-14T2
0Z|N||v10_6|1427065044|1427065044001||||||||||||||||41.12502|-74.02441|Y|
6972196995001|||||Mayer|Lynn||NP||18 Thiells Mount Ivy Road|Cardiac Cath Lab|Suf
fern|NY|10901|18 Thiells Mount Ivy Road||Suffern|NY|10901|8453685287|8453685624|
1-14T23:25:12.0Z|N||v10_6|1750325874|1750325874001||||||||||||||||41.12422|-74.1
0845|N|
6972239902001|||||provlasstnameabcdefghijklm123456780|provfirstnameabcdefghijklm
123456780||||add1 firstnameabcdefghijklm12345678|add2 firstnameabcdefghijklm1234
5678|cityfirstnameabcdefghijklm123456780|MA|02420|ADD1 FIRSTNAMEABCDEFGHIJKLM123
45678||Lexington|MA|02420|5455454545|8885551212|provlasstnameabcdefghijklm123456
780@a.com||2013-11-14T19:30:10.0Z|2099-12-31T23:59:59.0Z|New|AmericanwellTest|20
13-11-14T20:15:19.0Z|N|New|v4_20|1137712687|1137712687001||||||||||||||||42.4539
9|-71.22554|N|
6972339629001|||||Gluck|Gerson||MD||40 Robert Pitt Drive||Monsey|NY|10952|40 Rob
ert Pitt Dr||Monsey|NY|109523333|8453526800|8453527292|||2013-11-14T22:59:28.0Z|
|1225044878|1225044878001||||||||||||||||41.11138|-74.06391|Y|AM
6973174157001|||||Burkes|Jason||DDS||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201
0_6|1811187172|1811187172001||||||||||||||||32.81096|-96.83699|Y|
6973759330001|||||Abraham|Gallane||MD||255 Lafayette Avenue|Good Samaritan Hospi
3-11-14T23:16:34.0Z|U|New|v10_6|1275859696|1275859696001||||||||||||||||41.11199
|-74.13325|Y|AM
6974061957001|||||Crone|Olive||||Good Samaritan Hospital|Suite M-4|Suffern|NY|10
901|Good Samaritan Hospital||Suffern|NY|10901|8453685029|8453699717|||2013-11-14
9.0Z|N||v10_6|1952421109|1952421109001||||||||||||||||41.12422|-74.10845|N|
6975521868001|||||Eisenberg|Elliott|S|MD||3904 MEADOWDALE BLVD||Richmond|VA|2323
4|3904 Meadowdale Blvd||North Chesterfield|VA|232345547|8042717920|8042718538|||
46596|Y|
6976902893001|||||Riley|Gerald||MD||695 Dutchess Turnpike #105||Poughkeepsie|NY|
12603|695 Dutchess Tpke|Ste 105|Poughkeepsie|NY|126036443|8886475979|8888470818|
1-14T23:09:21.0Z|N||v10_6|1184821894|1184821894001||||||||||||||||41.6988|-73.88
263|Y|AM
6977435786001|||||Moussalli|Colette||MD||8921 THREE CHOPT ROAD|SUITE 201|RICHMON
D|VA|23229|8921 Three Chopt Rd|Ste 201|Richmond|VA|232294601|8042859315|80428853
3-11-14T22:23:54.0Z|N||v10_6|1871541383|1871541383001||||||||||||||||37.60535|-7
7.56132|Y|AM
6978358193001|||||Doh|Steven||MD||255 Lafayette Avenue|Good Samaritan Hospital|S
13325|Y|AM
6979634337001|AD4567890||||doe|jan||||456 Yahoo Ave||Yahoo City|ME|45623|456 Yah
oo Ave||Crown City|OH|45623|2547891245|2547891111|||2013-11-06T21:02:23.0Z|209912-31T00:00:00.0Z|New~Cancel|HCSTest4x|2013-11-14T22:53:09.0Z|U|New~Cancel|v10_6
mu2|2143658799|2143658799001|Doctor|||||||||||||||38.62104|-82.25927|N|
6979658344001|||||Oliver|George|Reinhold|MD||5201 HARRY HINES BLVD||DALLAS|TX|75
U|New|v10_6|1346357811|1346357811001||||||||||||||||32.81096|-96.83699|Y|
6980107786002|||FP||HALL|LUTHER||||1109 Bellefonte Rd||Flatwoods|KY|41139|1109 B
ellefonte Rd||Flatwoods|KY|411392503|6068368086|6068363743|||2013-11-14T22:51:56
10_6|1669470258|1669470258002||||||||||||||||38.51501|-82.72165|Y|AM
6981702122001|||U||Rogers|Craig||MD||2799 W. Grand Blvd.||Detroit|MI|48202|2799
10_6|1689602815|1689602815001||||||||||||||||42.36731|-83.08504|Y|AM
6983740195001|||||Lopes|Joanne|M|MD||5121 Greenwich Rd.|Cosmetic Surgery Ctr for
Women|Virginia Beach|VA|23462|5121 Greenwich Rd||Virginia Beach|VA|234626047|75
74975400|7574978811|||2013-11-12T20:15:58.0Z|2014-11-14T05:00:00.0Z|New~Refill|B
|||||||||36.83626|-76.1603|Y|AM
6985021396001|||||Birnbaum|Stuart||DPM||200 East Eckerson Road|Suite 2-1|New Cit
y|NY|10956|200 E Eckerson Rd|Ste 2-1|New City|NY|109567159|8453527507|8453527509
02441|Y|
6985519936001|||IM||Skarzynski|Aleksander||MD||3170 Willowcreek Rd||Portage|IN|4
6386|3170 Willowcreek Rd||Portage|IN|463684424|2197647236|2197647507|||2011-09-2
2T15:50:34.0Z|2014-11-13T05:00:00.0Z|New~Refill|CommunityHCSTest4x|2013-11-14T05
:45:38.0Z|U|New~Refill|v10_6|1447275953|1447275953001||||||||||||||||41.55963|-8
7.18489|Y|AM
6986442823002|||DR||JACOBS|DAVID||||695 Dutchess Turnpike 105||Poughkeepsie|NY|1
-14T23:02:05.0Z|N||v10_6|1154302537|1154302537002||||||||||||||||41.6988|-73.882
63|Y|AM
6986712399001|AP9010000||||Zerr|MU|||LocalFacility1|123 Test Street||Austin|TX|7
8654|123 Test Street||Austin|TX|78654|5123489157|5123498579|||2013-11-13T17:22:2
.0Z|U|New|v10_6mu2|1540242942|1540242942001||||||||||||||||30.58238|-98.28925|N|
6988632868001|||||Troutman|Eric|H|MD||2 Memorial Medical Dr|Greenville OB/GYN As
sociates|Greenville|SC|29605|2 Memorial Medical Dr||Greenville|SC|296054450|8642
954210|8642950615|||2013-11-12T19:46:57.0Z|2014-11-14T05:00:00.0Z|New~Refill|Bon
SecoursTest|2013-11-14T22:15:54.0Z|U|New|v10_6|1922035310|1922035310001|||||||||
|||||||34.81687|-82.42139|Y|AM
6989082766005|BP1020306|OHIO99876||DR.|LOWERY|SUSAN||MD|Mike's 11.2 Test Org|PAI
N MGMT W/ EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040||||||5132042340|5
137707700|||2012-06-13T19:28:12.0Z|2096-11-14T17:05:57.0Z|New~MedHistory|MedPlus
QA4|2013-11-14T17:04:09.0Z|U|New~MedHistory|v4_20|5678345336|5678345336005||||||
|||||||||||||
6989668804001|||||Hackell|Jesse||MD||4C Medical Park Drive||Pomona|NY|10970|4 Me
dical Park Dr|# C|Pomona|NY|109703516|8453620202|8453621347|||2013-11-14T23:00:4
v10_6|1730278185|1730278185001||||||||||||||||41.16712|-74.0338|Y|AM
6989783744001|||||Golden|Brian||MD||2 Crosfield Avenue|Suite 204|West Nyack|NY|1
22:59:34.0Z|N||v10_6|1558334102|1558334102001||||||||||||||||41.09306|-73.97705|
Y|AM
6989913317001|||||Beniaminovitz|Ainat||MD||222 Route 59|Suite 302|Suffern|NY|109
01|222 Route 59|Ste 302|Suffern|NY|109015208|8453680100|8453683866|||2013-11-14T
.0Z|N||v10_6|1780603860|1780603860001||||||||||||||||41.11288|-74.11188|Y|AM
6990586334001|||GS||Yoder|Jeffery|A|MD||11141 Parkview Plaza Dr, Ste 305||Fort W
ayne|IN|46845|11141 Parkview Plaza Dr|Ste 305|Fort Wayne|IN|468451715|2602668900
|2602668935|jefferyyoder85@comcast.net||2013-04-08T17:45:58.0Z|2014-11-14T05:00:
00.0Z|New~Refill|ParkviewHospitalTest|2013-11-14T19:45:33.0Z|U|New|v10_6|1184625
949|1184625949001||||||||||||||||41.1896|-85.1|Y|AM
6991179816001|||PMD||Wolf|Beckysue||NP|PREVEA HEALTH|1715 DOUSMAN STREET||GREEN
BAY|WI|54303|1715 Dousman St||Green Bay|WI|543033211|9202721611|9202721621|||201
3-08-25T14:33:08.0Z|2014-11-14T06:00:00.0Z|New~Refill|PreveaTest|2013-11-14T20:1
4:26.0Z|U|New|v10_6|1114039351|1114039351001||||||||||||||||44.53305|-88.0657|Y|
AM
6991362776001|||||Singh|Paramjeet||MD||1 CROSSFIELD AVE|SUITE 105|West Nyack|NY|
T23:12:02.0Z|N||v10_6|1477711810|1477711810001||||||||||||||||41.0925|-73.97863|
Y|AM
6991417257001|||||Gayle|Robert|G|MD||397 Little Neck Road, Suite 120||Virginia B
each|VA|23452|397 Little Neck Rd|Ste 120|Virginia Beach|VA|234525774|7574705570|
Test|2013-11-14T22:31:45.0Z|U|New|v10_6|1750352126|1750352126001||||||||||||||||
36.84283|-76.09177|Y|AM
6991727762001|||US||Remedio|Virginia||CNP||6777 West Maple Road||WEST BLOOMFIELD
4T19:43:15.0Z|U|New|v10_6|1407059884|1407059884001||||||||||||||||42.53865|-83.4
0706|Y|AM
6992123573001|||EM||Ohara|Cole|T|MD|INFINITY HEALTHCARE INC|111 E WISCONSIN AVE|
|MILWAUKEE|WI|53202|111 E Wisconsin Ave|Ste 2100|Milwaukee|WI|532024809|41429067
3-11-14T20:14:29.0Z|U|New|v10_6|1407099476|1407099476001||||||||||||||||43.03834
|-87.90929|Y|AM
6992601776001|||||Hudalla|Christa|C|CRNA||Commonwealth Anesthesia Associates|108
00 Midlothian Trpk, Suite 265|Richmond|VA|23235|Commonwealth Anesthesia Associat
es||Richmond|VA|23235|8045942622|8045940915|||2013-11-14T23:31:40.0Z|2014-11-14T
|1174634695001||||||||||||||||37.51673|-77.5597|N|AM
6992615495001|||||Hafeez|Mohammad||MD||12A N AIRMONT RD||Suffern|NY|10901|12A N
Airmont Rd||Suffern|NY|109015152|8453698671|8453698673|||2013-11-14T23:00:43.0Z|
|1639101595|1639101595001||||||||||||||||41.11435|-74.11403|Y|AM
6992812241001|||OPH||Gill|Harpreet||MD||15401 East Jefferson Ave.||GROSSE POINTE

PARK|MI|48230|15401 E Jefferson Ave||Grosse Pointe Park|MI|482301328|3138244800
|3138247080|||2012-10-11T18:14:04.0Z|2014-11-14T05:00:00.0Z|New~Refill|HenryFord
Test|2013-11-14T19:44:04.0Z|U|New|v10_6|1912067315|1912067315001||||||||||||||||
42.37706|-82.93436|Y|AM
6994996770001|||||Lo|Susan||MD||255 Lafayette Avenue|Good Samaritan Hospital|Suf
T23:05:05.0Z|U|New|v10_6|1548276272|1548276272001||||||||||||||||41.11199|-74.13
325|Y|AM
6995039198001|||||Inman|Patricia|S|MD||10431 PATTERSON AVENUE||RICHMOND|VA|23238
|10431 Patterson Ave||Richmond|VA|232385101|8047416200|8047416213|||2013-11-14T2
0Z|N||v10_6|1265546923|1265546923001||||||||||||||||37.59616|-77.60287|Y|AM
6995433227001|||||Shah|Anita||MD||2 Crosfield Avenue|Suite 318|West Nyack|NY|109
:10:58.0Z|N||v10_6|1477547446|1477547446001||||||||||||||||41.09306|-73.97705|Y|
AM
6995755306001|AD1630044||||Dewolfe|Mark|||Bathinda|#13426 CA||GREjhjh|CT|15111|#
13426 CA||Grejhjh|CT|15111|6326890000x56723|3455315441|sdfsdfsd3erwr@sasdds.com|
|2013-11-14T15:48:42.0Z|2099-12-31T05:00:00.0Z|New~Refill|DrFirstWW0Test4x|201311-14T15:48:42.0Z|N||v4_20|1124021142|1124021142001|||||||||||||||||||
6995755306002|AD1630044||||Dewolfe|Mark|||Bathinda|#13426 CA||GREjhjh|CT|15111|#
13426 CA||Grejhjh|CT|15111|6326890000x56723|3455315441|sdfsdfsd3erwr@sasdds.com|
|2013-11-14T15:49:36.0Z|2099-12-31T05:00:00.0Z|RxFill~MedHistory~Eligibility|DrF
irstTest|2013-11-14T15:49:36.0Z|N||v4_0|1124021142|1124021142002||||||||||||||||
|||
6996208685001|||||Bloch|Debra||||16 PARK AVENUE||Monsey|NY|10952|16 Park Ave||Ai
rmont|NY|109524507|8453563545|8453563445|||2013-11-14T23:23:47.0Z|2014-11-14T05:
06113030001||||||||||||||||41.0999|-74.0744|Y|
6997609071001|||||Carroll|Elizabeth|Alexandra|MD||5201 HARRY HINES BLVD||DALLAS|
TX|75235|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013
-06-13T14:42:19.0Z|2014-11-14T06:00:00.0Z|New|ParklandTest4.2|2013-11-14T12:14:2
1.0Z|U|New|v10_6|1215297403|1215297403001||||||||||||||||32.81096|-96.83699|Y|
6997922797001|||OPH||Skarf|Barry||MD||5500 Auto Club Drive||DEARBORN|MI|48126|55
00 Auto Club Dr||Dearborn|MI|481262779|3135628000|3134254463|||2012-10-11T18:08:
ew|v10_6|1730249145|1730249145001||||||||||||||||42.32778|-83.22224|Y|AM
6998023827001|||AS||Moore|John|C|MD|Children's Physicians - WVillagePte|110 N 17
5th ST STE 1000|Children's Physicians - WVillagePte|Omaha|NE|68118|110 N 175th S
t|Ste 1000|Omaha|NE|681183581|4029555437|4029557310|||2010-11-24T18:49:48.0Z|201
3-11-28T06:00:00.0Z|New~Refill|TCHOmahaTest10dot6|2013-11-14T19:17:39.0Z|U|New~R
efill|v10_6|1932118486|1932118486001||||||||||||||||41.25753|-96.19026|Y|AM
6999368635001|||||Schoenberg|Barry||DPM||11 Medical Park Drive|Suite 206|Pomona|
NY|10970|11 Medical Park Dr|Ste 206|Pomona|NY|109703560|8453620100|8453620112|||
59|Y|
6999527958003|||U||ZELKOVIC|PAUL||||150 White Plains Road|Suite 306|White Plains
|NY|10591|150 White Plains Rd|Ste 306|Tarrytown|NY|105915521|9144938628|91449385
3-11-14T23:14:55.0Z|N||v10_6|1528098092|1528098092003||||||||||||||||41.06355|-7
3.85573|Y|AM

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6000401367001|||||Sanghavi|Monika|Arora|MD||5201 HARRY HINES BLVD||DALLAS|TX|752

35|5201 Harry Hines Blvd||Dallas|TX|752357708|2145908000|2145908341|||2013-06-13

6012742667001|||IM||Grewal|Monika||MD||39450 W. 12 Mile Rd||Novi|MI|48377|39450

Name1|ACNP1|sampleClinicName|THT Street|sampleAddressLine2|Allen Park|MI|70000|T

22 Route 59|Ste 302|Suffern|NY|109015208|8453680100|8453683866|||2013-11-14T23:0

6053726413001|||||Patel|Kashyap|B|||1583 HEALTHCARE DRIVE|CAROLINA BLOOD AND CAN

6066114310002|||GS||Tatar|Eric||MD||2 Medical Park Dr||West Nyack|NY|10994|2 Med

EMPHASIS IN NON-SURGIC|300 W BROADWAY|MASON|OH|45040|2200 Test Dr||Mason|OH|450

6092390528002|||OTO||Darrat|Ilaaf||MD||19401 Hubbard Drive||Dearborn|MI|48126|19

6106724787001|||CCM||Sabbagh|Fadi||MD|EAU CLAIRE MEDICAL CLINIC|703 HAMILTON AVE

6123826466002|AB1020306|||DR.|RAI|RANJANA|||Mike's 11.2 Test Org|PAIN MGMT W/ EM

Beach|VA|23452|397 Little Neck Rd|Ste 120|Virginia Beach|VA|234525774|7574705570

ARK|MI|48230|15401 E Jefferson Ave||Grosse Pointe Park|MI|482301328|3138244800|2

6154319060001|||||Cohen|Bradley||MD||500C NEW HEMPSTEAD RD||NEW CITY|NY|10956|50

10901|257 Lafayette Ave|Ste 330|Suffern|NY|109014831|8453688808|8453685608|||201

6210807858001|||AS||Krenzer|Kari|Ann|MD|Children's Physicians - WVillagePte|110

6215943385001|||||Pizon|Eric|||JP Test Practice|Main Street 1|Main street 2|Hunt

6222247028002|AA5026439|U78965||DR.|RAO|LATHA|||Mike's 11.2 Test Org|PAIN MGMT W

0970|11 Medical Park Dr|Ste 104|Pomona|NY|109703559|8456341871|8453544104|||2013

ONT AVENUE||EAU CLAIRE|WI|54703|2741 N Clairemont Ave|Ste D|Eau Claire|WI|547032

6255596556002|||||Atrey|Vartika||MD||5201 HARRY HINES BLVD||DALLAS|TX|75235|5201

6339696471001|||||Delbrook|Donnie|||QA61ACE|2222 Southern Drive||Chapel Hill|NC|

6346876322001|||||Demasi|Richard|J|MD||397 Little Neck Road, Suite 120||Virginia

6393968824002|||IM||Kumar|Priesh|I|MD||3636 High Street|Team Health|Portsmouth|V

Chesterfield|Midlothian|VA|23114|611 Watkins Centre Pkwy|Ste 250|Midlothian|VA|

cis Blvd, ED|Midlothian|VA|23114|13700 St Francis Blvd|# Ed|Midlothian|VA|231143

6439553713001|||||Degen|Janaki||MD||255 Lafayette Avenue|Good Samaritan Hospital

6460340188002|||FP||Morrison|Pamela||||King William-Dawn Community Doctors|P.O.

l|Newport News|VA|23602|2 Bernardine Dr||Newport News|VA|236024404|7578866271|75

6490614115001|||||Lowenthal|Diana||MD||New York Medical College||Valhalla|NY|105

6500784007321|||||Johnson|James||||some address||Paris|AL|32801|Some Address||Pa

6516778571002|||||Friedman|Jonathan|Ross|MD||5201 HARRY HINES BLVD||DALLAS|TX|75

10970|11 Medical Park Dr|Ste 203|Pomona|NY|109703560|8453542241|8453542093|||201

7 Route 59|Ste 2|Airmont|NY|109523417|8453562900|8453567797|||2013-11-14T23:09:2

rfax Ave|# 445|Norfolk|VA|235071914|7574468920|7574465196|||2013-11-14T23:49:43.

Philip Roth St||Newport News|VA|236061393|7578736434|7578731882|||2013-11-14T22

954|55 Old Nyack Tpke|Ste 301|Nanuet|NY|109542400|8456272800|8456277827|||2013-1

Woodwind Ln||Spring Valley|NY|109771614|8453645437|8453620589|||2013-11-14T23:02

hopaedic Associates|Richmond|VA|23235|1411 Johnston Willis Dr||North Chesterfiel

|Suffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685039|8453685327|

LLAGHAN RD||SAN ANTONIO|TX|78228|4530 Callaghan Rd||San Antonio|TX|782282617|210

6734876181001|||IM||Rocco|Nicole||MD||2799 W Grand Blvd||DETROIT|MI|48202|2799 W

Cristo||San Juan|PR|00901|100 Calle Del Santo Cristo||San Juan|PR|009011331|7877

6778462948002|||||LONBERG|MATHEW||||500C NEW HEMPSTEAD ROAD||NEW CITY|NY|10956|5

6786844335002|||GP||Clarke|Darius|N|MD||527 Kerry Lake Dr|Restorative Health We

6793330237001|||||Ali-Osman|Francis|R.|MD||5201 HARRY HINES BLVD||DALLAS|TX|7523

6813009225001|||||Iudica-Souza|Carla||MD||5 Medical Park Drive||Pomona|NY|10970|

6838782087001|||||Reeves|Alexander|G|MD||5818 Harbour View Blvd|Harbour View Med

ffern|NY|10901|255 Lafayette Ave||Suffern|NY|109014812|8453685029|8455653395|||2

019|1790 Broadway|Ste 800|New York|NY|100191412|2124327837|2124327836|||2013-1114T23:12:35.0Z|2014-11-14T05:00:00.0Z|New~Refill|BonSecoursTest|2013-11-14T23:12

6935780018001|||||Mouzakitis|Paul||MD||255 Lafayette Avenue|Good Samaritan Hospi

6992812241001|||OPH||Gill|Harpreet||MD||15401 East Jefferson Ave.||GROSSE POINTE

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